Abstract

This technical note describes a simple arthroscopic technique that was introduced without the need for further staff during an operation to address osteonecrosis of the medial femoral condyle. A 2.4 mm pin was positioned through the sleeve of an anterior cruciate ligament (ACL) tibial guide and marked with a steri-strip at its body, aiming at 5–10 mm distance between the tips of guide and the pin. The steri-strip serves as a marker and as a stop for inadvertent violation of the cartilage. The tip of the ACL was positioned just over the bone lesion, while the marked 2.4 mm pin was inserted through the ACL tibial guide from anterior surface of the femur. A stab incision was made and without advancing the sleeve to the bone, the pin was drilled to the marked position while cartilage integrity was confirmed arthroscopically. This arthroscopic technique is simple, fast and effective and is performed without the need for special equipment.

Publication details

DOI
10.18295/squmj.8.2022.047
Journal
Sultan Qaboos University Medical Journal, 23(1), 99-103
Publisher
Sultan Qaboos University
Open access
Gold open access
License
CC BY-ND 4.0

Cite this article

APA 7

Koukoulias, N., Vasiliadis, A. V., & Dimitriadis, T. (2025). Simple Arthroscopic Technique to Perform Retrograde Drilling for Osteonecrosis of the Femoral Condyles with the Use of Anterior Cruciate Ligament Guide. Sultan Qaboos University Medical Journal, 23(1), 99-103. https://doi.org/10.18295/squmj.8.2022.047

MLA 9

Koukoulias, Nikolaos, et al. "Simple Arthroscopic Technique to Perform Retrograde Drilling for Osteonecrosis of the Femoral Condyles with the Use of Anterior Cruciate Ligament Guide." Sultan Qaboos University Medical Journal, vol. 23, no. 1, 2025, pp. 99-103. https://doi.org/10.18295/squmj.8.2022.047.

Chicago (author–date)

Koukoulias, Nikolaos, Angelo V. Vasiliadis, and Theofilos Dimitriadis. 2025. "Simple Arthroscopic Technique to Perform Retrograde Drilling for Osteonecrosis of the Femoral Condyles with the Use of Anterior Cruciate Ligament Guide." Sultan Qaboos University Medical Journal 23 (1): 99-103. https://doi.org/10.18295/squmj.8.2022.047.

Harvard

Koukoulias, N., Vasiliadis, A. V. and Dimitriadis, T. (2025) 'Simple Arthroscopic Technique to Perform Retrograde Drilling for Osteonecrosis of the Femoral Condyles with the Use of Anterior Cruciate Ligament Guide', Sultan Qaboos University Medical Journal, 23(1), pp. 99-103. doi:10.18295/squmj.8.2022.047.

Vancouver

Koukoulias N, Vasiliadis AV, Dimitriadis T. Simple Arthroscopic Technique to Perform Retrograde Drilling for Osteonecrosis of the Femoral Condyles with the Use of Anterior Cruciate Ligament Guide. Sultan Qaboos University Medical Journal. 2025;23(1):99-103. doi:10.18295/squmj.8.2022.047

IEEE

N. Koukoulias, A. V. Vasiliadis, and T. Dimitriadis, "Simple Arthroscopic Technique to Perform Retrograde Drilling for Osteonecrosis of the Femoral Condyles with the Use of Anterior Cruciate Ligament Guide," Sultan Qaboos University Medical Journal, vol. 23, no. 1, pp. 99-103, 2025, doi: 10.18295/squmj.8.2022.047.