Osteochondral lesions of the talus: retrograde drilling with high-field-strength MR guidance.

Seebauer, Christian J; Bail, Hermann J; Wichlas, Florian; Jung, Tobias; Papanikolaou, Ioannis S; van der Voort, Ivo; Rump, Jens C; Schilling, René et al. · Radiology · 2009

biomechanical · Level V

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Abstract

The institutional review board approved the use of cadaveric specimens, and informed consent was obtained from all volunteers. The authors performed and assessed a magnetic resonance (MR)-assisted navigation method for minimally invasive retrograde drilling of talar osteochondral lesions. For this method, a single imaging plane is sufficient for navigation during intervention. To accomplish this objective, a passive MR navigation device was used to evaluate 16 cadaveric ankle joints. Use of this interactive MR-assisted navigation method in combination with a passive aiming device allowed precise and rapid retrograde drilling of talar osteochondral lesions.

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