title: Is Antegrade Transmalleolar Drilling Method for Osteochondral Lesion of Talus Necessary? Iatrogenic Cystic Formation at the Tibia: A Report of Five Cases.
abstract: Antegrade transmalleolar drilling method is one of the options for the treatment of osteochondral lesion of talus (OLT). We present five patients who underwent tibial drilling for treatment of OLT and later developed distal tibial cystic formation induced by cartilage opening or heat necrosis during drilling. Antegrade transmalleolar drilling can be a possible option for the treatment of OLT if the lesion is not easily reachable; however, other viable treatment should be considered due to its possibility of distal tibial pathologic change.
authors.affiliation: Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Jae Young
authors.initials: JY
authors.lastname: Kim
authors.affiliation: Department of Orthopaedic Surgery, Asian Hospital and Medical Center, Muntinlupa, Philippines.
authors.forename: Francis Joseph V
authors.initials: FJ
authors.lastname: Reyes
authors.affiliation: Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Young
authors.initials: Y
authors.lastname: Yi
authors.affiliation: Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Woo-Chun
authors.initials: WC
authors.lastname: Lee
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000601:surgery; D002358:Cartilage, Articular / Q000601:surgery*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D009140:Musculoskeletal Diseases / Q000209:etiology / Q000601:surgery; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods; D013628:Talus / Q000601:surgery*; D013977:Tibia / Q000293:injuries / Q000601:surgery; D055815:Young Adult
keywords: Cartilage; Cysts; Osteochondritis dissecans; Talus; Tibia