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Percutaneous drilling for the treatment of secondary osteonecrosis of the knee.

Publication ,  Journal Article
Marulanda, G; Seyler, TM; Sheikh, NH; Mont, MA
Published in: J Bone Joint Surg Br
June 2006

Osteonecrosis of the knee comprises two separate disorders, primary spontaneous osteonecrosis which is often a self-limiting condition and secondary osteonecrosis which is associated with risk factors and a poor prognosis. In a series of 61 knees (38 patients) we analysed secondary osteonecrosis of the knee treated by a new technique using multiple small percutaneous 3 mm drillings. Total knee replacement was avoided in 59 knees (97%) at a mean follow-up of 3 years (2 to 4). Of the 61 knees, 56 (92%) had a successful clinical outcome, defined as a Knee Society score greater than 80 points. The procedure was successful in all 24 knees with small lesions compared with 32 of 37 knees (86%) with large lesions. All the procedures were performed as day cases and there were no complications. This technique appears to have a low morbidity, relieves symptoms and delays more invasive surgery.

Duke Scholars

Published In

J Bone Joint Surg Br

DOI

ISSN

0301-620X

Publication Date

June 2006

Volume

88

Issue

6

Start / End Page

740 / 746

Location

England

Related Subject Headings

  • Treatment Outcome
  • Retrospective Studies
  • Photofluorography
  • Osteonecrosis
  • Orthopedics
  • Orthopedic Procedures
  • Middle Aged
  • Male
  • Knee Joint
  • Humans
 

Citation

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ICMJE
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Marulanda, G., Seyler, T. M., Sheikh, N. H., & Mont, M. A. (2006). Percutaneous drilling for the treatment of secondary osteonecrosis of the knee. J Bone Joint Surg Br, 88(6), 740–746. https://doi.org/10.1302/0301-620X.88B6.17459
Marulanda, G., T. M. Seyler, N. H. Sheikh, and M. A. Mont. “Percutaneous drilling for the treatment of secondary osteonecrosis of the knee.J Bone Joint Surg Br 88, no. 6 (June 2006): 740–46. https://doi.org/10.1302/0301-620X.88B6.17459.
Marulanda G, Seyler TM, Sheikh NH, Mont MA. Percutaneous drilling for the treatment of secondary osteonecrosis of the knee. J Bone Joint Surg Br. 2006 Jun;88(6):740–6.
Marulanda, G., et al. “Percutaneous drilling for the treatment of secondary osteonecrosis of the knee.J Bone Joint Surg Br, vol. 88, no. 6, June 2006, pp. 740–46. Pubmed, doi:10.1302/0301-620X.88B6.17459.
Marulanda G, Seyler TM, Sheikh NH, Mont MA. Percutaneous drilling for the treatment of secondary osteonecrosis of the knee. J Bone Joint Surg Br. 2006 Jun;88(6):740–746.

Published In

J Bone Joint Surg Br

DOI

ISSN

0301-620X

Publication Date

June 2006

Volume

88

Issue

6

Start / End Page

740 / 746

Location

England

Related Subject Headings

  • Treatment Outcome
  • Retrospective Studies
  • Photofluorography
  • Osteonecrosis
  • Orthopedics
  • Orthopedic Procedures
  • Middle Aged
  • Male
  • Knee Joint
  • Humans