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[关节镜下半月板切除术后股骨髁无菌性骨坏死]

[Aseptic osteonecrosis of the femoral condyle after meniscectomy by the arthroscopic approach].

作者信息

al-Kaar M, Garcia J, Fritschy D, Bonvin J C

机构信息

Division de radiodiagnostic et de radiologie interventionnelle, Hôpital Cantonal Universitaire, Genève, Suisse.

出版信息

J Radiol. 1997 Apr;78(4):283-8.

PMID:9239362
Abstract

Retrospective review of 10 patients who presented with avascular necrosis of the ipsilateral femoral condyle following arthroscopic meniscectomy (9 medial, 1 lateral). The bone lesions were evaluated by radiography and MRI, which were repeated for few patients. MRI allows earlier diagnosis of avascular necrosis of the femoral condyle and offers an evaluation of extent of the lesions whose evolution is variable: 3 patients required a knee prothesis, the other 7 patients were treated medically.

摘要

对10例关节镜下半月板切除术后出现同侧股骨髁缺血性坏死的患者进行回顾性研究(9例为内侧半月板切除,1例为外侧半月板切除)。通过X线摄影和磁共振成像(MRI)对骨病变进行评估,部分患者进行了多次检查。MRI能够更早地诊断股骨髁缺血性坏死,并对病变范围进行评估,病变的发展情况各不相同:3例患者需要进行膝关节置换,其他7例患者接受了药物治疗。

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