Osteonecrosis of the Knee - Which Joint Preservation Procedures Work?

被引：26

作者：

Lieberman, Jay R. ^{[1
]}

Varthi, Arya G. ^{[2
]}

Polkowski, Gregory G., II ^{[3
]}

机构：

[1] Univ So Calif, Keck Sch Med USC, Dept Orthopaed Surg, Los Angeles, CA 90033 USA

[2] Yale Univ, Sch Med, Dept Orthopaed & Rehabil, New Haven, CT 06510 USA

[3] UConn Hlth Ctr, New England Musculoskeletal Inst, Farmington, CT USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 01期

关键词：

osteonecrosis of knee; core decompression; osteochondral grafts; autogenous grafts; clinical outcomes; HIGH TIBIAL OSTEOTOMY; CORE DECOMPRESSION; FEMORAL CONDYLE; HEAD; HIP;

D O I：

10.1016/j.arth.2013.04.036

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

There is no consensus with respect to the best procedures to preserve the knee joint in patients with osteonecrosis of the knee. We performed a systematic review of the literature between 1999 and 2012. Only 10 of 1057 studies met our inclusion criteria. Core decompression prevented additional surgical treatment in pre-collapse knees with a failure rate of 10.4% (7 of 67 knees). Autogenous and osteochondral grafts decreased the need for additional surgery in both pre-collapse (0%, 20 of 20) and post-collapse knees (10.5%, 8 of 76 knees). Although these results are quite promising multi-center randomized trials are needed to identify the optimal procedures to treat this disease. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：52 / 56

页数：5

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