Rohde H
Arch Orthop Trauma Surg (1978). 1979 Oct;95(1-2):81-7. doi: 10.1007/BF00379174.
The author reports on symptoms, therapy and results of a follow-up of 17 patients with the rare disease of osteonecrosis of the medial femoral condyle. The therapy depends on the extend of the necrosis, the axis of the leg and the results of scintigraphy or scintimetry and arthrography or arthroscopy. Small necroses can be treated conservatively, but in case of a genu varum a valgus-osteotomie should be performed. Bigger necroses are bored or bolted combined with a valgus-osteotomie, if necessary. Extensive osteonecroses can only be treated by partial endoprosthesis or autologue bone-cartilage-transplantation.
作者报告了17例罕见的股骨内侧髁骨坏死患者的症状、治疗方法及随访结果。治疗方法取决于坏死范围、下肢力线以及骨闪烁显像或骨闪烁测定法和关节造影或关节镜检查的结果。小面积坏死可采用保守治疗，但如果出现膝内翻，则应进行外翻截骨术。较大面积的坏死在必要时可钻孔或用螺栓固定并结合外翻截骨术。广泛的骨坏死只能通过部分人工关节置换或自体骨软骨移植来治疗。
