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[类固醇诱导的股骨髁骨坏死和双侧弗雷伯格病]

[Steroid-induced osteonecrosis of femoral condyles and bilateral Freyberg's disease].

作者信息

Bruder A, Dittmer H

机构信息

Chirurgische Klinik, Unfallchirurgische Abteilung, Städtischen Kliniken Frankfurt am Main Höchst, Germany.

出版信息

Unfallchirurg. 2002 Oct;105(10):939-42. doi: 10.1007/s00113-002-0455-y.

Abstract

We report on a patient with steroid-induced osteonecrosis of the femoral condyles after therapy of an acute lymphatic leukemia. Because of continuing bilateral knee pain, we performed osteochondral autografting of the right femoral condyle in two steps. During the follow-up period, the patient developed bilateral Freyberg's disease, which was also successfully treated by surgery. The MRIs which we performed as a follow-up 3 years later showed complete incorporation and vitality of the transplanted cylinders. No further clinical symptoms occurred.

摘要

我们报告了一名急性淋巴细胞白血病患者在接受治疗后发生类固醇诱导的股骨髁骨坏死的病例。由于双侧膝关节持续疼痛,我们分两步对右侧股骨髁进行了自体骨软骨移植。在随访期间,患者出现双侧弗赖贝格病,也通过手术成功治愈。我们在3年后进行随访的磁共振成像显示移植的柱状骨完全融合且具有活力。未再出现进一步的临床症状。

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