[Steroid-induced osteonecrosis of femoral condyles and bilateral Freyberg's disease].
We report on a patient with steroid-induced osteonecrosis of the femoral condyles after therapy of an acute lymphatic leukemia. Because of continuing bilateral knee pain, we performed osteochondral autografting of the right femoral condyle in two steps. During the follow-up period, the patient developed bilateral Freyberg's disease, which was also successfully treated by surgery. The MRIs which we performed as a follow-up 3 years later showed complete incorporation and vitality of the transplanted cylinders. No further clinical symptoms occurred.
Bruder
A
A
Chirurgische Klinik, Unfallchirurgische Abteilung, Städtischen Kliniken Frankfurt am Main Höchst, Germany.
Dittmer
H
H
D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D016025:Bone Transplantation; D003348:Cortisone / Q000009:adverse effects*; D005260:Female; D005269:Femur / Q000187:drug effects / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint; D008279:Magnetic Resonance Imaging; D008663:Metacarpus / Q000000981:diagnostic imaging / Q000187:drug effects; D010007:Osteochondritis / Q000139:chemically induced*; D010020:Osteonecrosis / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000188:drug therapy; D011859:Radiography; D013577:Syndrome; D013997:Time Factors
D000893:Anti-Inflammatory Agents; D003348:Cortisone