OCD Fixation Didactic Presentations - AOSSM/POSNA Pediatric Surgical Skills Course-OCD Fixation: 6. Transarticular Drilling How I Do It

OCD Fixation: 6. Transarticular Drilling How I Do It

Video Transcription

Video Summary

In this video, the speaker discusses transarticular drilling as a surgical technique for the treatment of stable OCD lesions. The speaker explains that transarticular drilling involves using a wire to drill multiple passes through the lesion and into the healthy cancellous bone below, thereby stimulating healing and restoration of blood flow. The speaker highlights the benefits of transarticular drilling, including easy visualization of the lesion and high success rates. The indications for transarticular drilling are discussed, emphasizing the need for a stable lesion in skeletally immature or mature patients who have failed conservative treatment. Preoperative preparation and equipment needed for the procedure are also mentioned. The speaker provides a step-by-step guide to performing transarticular drilling during arthroscopy. The importance of post-operative rehab and potential for a second scope is briefly mentioned.

Keywords

transarticular drilling

surgical technique

OCD lesions

healing

blood flow