Avascular Necrosis of Femoral Condyles in a Patient Treated Due to Lymphoma. A Case Study
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2017, Vol 19, Issue 5
Abstract
Periarticular avascular osteonecrosis is one of the most severe joint diseases and may result in complete joint destruction. It may affect patients after chemotherapy involving regimens including steroids. The paper describes the case of a female patient who was just under 18 years old when she underwent surgery due to bilateral osteonecrosis of the femoral condyles that developed in the course of treatment of a haematological malignancy. The aim of the paper is to present clinical and imaging-based assessment of the outcome of surgical treatment by reconstruction of osteochondral joint defects with a collagen membrane and bone grafts. In this patient, radiographic and clinical improvement of the joints treated was noted in a 24-month follow-up period. The available literature indicates that this is the first example of using this technique in the treatment of articular lesions associated with osteonecrosis caused by aggressive chemotherapy. The so-called “sandwich” technique is useful in these cases and may be recommended by the present authors.
Authors and Affiliations
Kamil Graboń, Łukasz Paczesny, Jacek Kruczyński
Stabilizacja śródszpikowa drutami Kirschnera w leczeniu złamań kości przedramienia u dzieci
Wstęp. W ostatnim dziesięcioleciu małoinwazyjne techniki stabilizacji śródszpikowej stały się uznaną metodą leczenia złamań kości długich u dzieci. Rozszerzeniu uległy wskazania do ich zastosowania zarówno w odniesieniu...
Assessment of postural stability disorders in older adults treated at a health resort
Background. Falls are a common and often devastating occurrence for the elderly in both home and institutional settings. The main purpose of our study was to assess disorders of postural stability in elderly patients und...
Total knee arthroplasty using the Ortho Pilot computer-assisted surgical navigation system
Background. Total knee arthroplasty (TKA) is currently the gold standard in the treatment of advanced gonarthrosis. Improved range of motion, reduced pain, and correction of the limb axis, which are the main treatment go...
Zastosowanie technik komputerowych w planowaniu osteotomii bliższego końca kości udowej
Wstęp. Celem pracy jest przedstawienie możliwości programu komputerowego SCFEanalyzer mogącego znaleźć zastosowanie w ocenie geometrii kości udowej oraz w przedoperacyjnym planowaniu osteotomii jej bliższego końca. Mater...
Gait analysis in Patients after Unilateral Hip Arthroplasty
Background. Osteoarthritis (OA) is the most common joint pathology and the main cause of disability in elderly persons. Arthroplasty still remains the most effective treatment of OA. Routine post-operative patient assess...