Pape D, Lorbach O, Anagnostakos K, Kohn D
Centre de l'Appareil Locomoteur, de Médecine du Sport et de Prévention, Centre Hospitalier de Luxembourg - Clinique d'Eich, Luxembourg, Luxembourg.
Orthopade. 2008 Nov;37(11):1099-100, 1102-7. doi: 10.1007/s00132-008-1303-8.
Osteonecrosis of the knee is a rare complication following arthroscopic surgery. Little is known about its etiology. The most important differential diagnosis is preexisting and undiagnosed early-stage spontaneous osteonecrosis of the knee. Medicolegally, arthroscopic surgery could be wrongly regarded as the primary cause for postarthroscopic osteonecrosis. Orthopedic surgeons need to be aware of the diagnostic pitfalls in differentiating between these entities. We suggest that the descriptive term "osteonecrosis in the postoperative knee" should be used rather than the captious term "postarthroscopic osteonecrosis."
膝关节骨坏死是关节镜手术后一种罕见的并发症。其病因鲜为人知。最重要的鉴别诊断是膝关节先前存在且未被诊断出的早期自发性骨坏死。从法医学角度看，关节镜手术可能会被错误地视为关节镜后骨坏死的主要原因。骨科医生需要意识到在区分这些实体时的诊断陷阱。我们建议应使用描述性术语“术后膝关节骨坏死”，而非挑剔性的术语“关节镜后骨坏死”。
