Video of the procedure

Unfortunately a video was not available. Therefore we recommend the video of retrograde drilling of an osteochondral defect/ tibial cyst in the tibial plafond. 

Positioning

The procedure is carried out as outpatient surgery under general anaesthesia or spinal anaesthesia. The patient is placed in a prone position. The involved leg is marked with an arrow to avoid wrong side surgery. A tourniquet is inflated around the thigh for haemostasis. A small support is placed under the lower leg, making it possible to move the ankle freely. 

Portals

For retrograde drilling, the standard 2-portal hindfoot approach is used. For portal placement, please click here.