Arthroscopic Treatment of Osteochondral Talar Defects by Christiaan J.A. van Bergen, Ruben Zwiers, and C. Niek van Dijk JBJS Essent Surg Tech Volume 3(2):e10.

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Arthroscopic Treatment of Osteochondral Talar Defects by Christiaan J.A. van Bergen, Ruben Zwiers, and C. Niek van Dijk JBJS Essent Surg Tech Volume 3(2):e10 April 10, 2013 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Patient positioning for anterior ankle arthroscopy. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Patient positioning for posterior ankle arthroscopy. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

With the arthroscope in the anteromedial portal, start the anterolateral portal by inserting a spinal needle lateral to the peroneus tertius tendon. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

The posterolateral portal is situated just above the line parallel to the foot sole from the tip of the lateral malleolus to the Achilles tendon, in front of the Achilles tendon, with the ankle in the neutral position. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

The flexor hallucis longus (FHL) tendon is an important landmark to prevent damage to the medial neurovascular bundle. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Identification of the osteochondral defect with the ankle in the plantar flexed position by palpating the cartilage with a probe. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Debridement of the defect. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic view after full debridement. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Microfracture. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Final view of the treated defect. Christiaan J.A. van Bergen et al. JBJS Essent Surg Tech 2013;3:e10 ©2013 by The Journal of Bone and Joint Surgery, Inc.