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关节镜下部分半月板切除术后膝关节骨坏死

Osteonecrosis of the knee after arthroscopic partial meniscectomy.

作者信息

Son Il Jin, Kim Min Kyu, Kim Jae Young, Kim Jin Goo

机构信息

Department of Orthopedic Surgery, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

出版信息

Knee Surg Relat Res. 2013 Sep;25(3):150-4. doi: 10.5792/ksrr.2013.25.3.150. Epub 2013 Aug 29.

Abstract

Osteonecrosis of the femoral condyle is known as an uncommon complication after arthroscopic meniscectomy. The lesion of osteonecrosis can be irreversible, thus early detection of the disease is crucial for treatment. A 50-year-old male patient without known risk factors of osteonecrosis developed increasing knee pain after arthroscopic partial meniscectomy. Magnetic resonance imaging showed rapid progression of osteonecrosis of the medial femoral condyle. Unicompartmental knee arthroplasty was performed after 9 months of conservative therapy. The patient is now free from pain during daily activities. It might be important to remind that if the patient's pain after arthroscopic partial meniscectomy is severe than expected, clinical doctors should pay attention to the possibility of ongoing osteonecrosis of the femoral condyle.

摘要

股骨髁骨坏死是关节镜下半月板切除术后一种罕见的并发症。骨坏死病变可能是不可逆的,因此早期发现该疾病对治疗至关重要。一名50岁男性患者,无已知骨坏死危险因素,在关节镜下部分半月板切除术后出现膝关节疼痛加重。磁共振成像显示内侧股骨髁骨坏死迅速进展。经过9个月的保守治疗后进行了单髁膝关节置换术。患者目前在日常活动中无疼痛。需要提醒的是,如果患者在关节镜下部分半月板切除术后的疼痛比预期严重,临床医生应注意股骨髁持续发生骨坏死的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfb2/3767902/3e4f70cbbd3b/ksrr-25-150-g001.jpg

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