Osteonecrosis of the Femoral Condyle in Systemic Lupus Erythematosus.
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概要
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Systemic lupus erythematosus is known as multiple organ disease and has a limited prognosis. At present steroid therapy is a satisfactory and specific medical treatment and can be recommended for this disease. However, the various sites of osteonecrosis associated with systemic lupus erythematosus are developed by prolonged steroid therapy. We present two cases about 3 knee-joints with osteonecrosis of the femoral condyle. We found the progression and extension of these lesions after 3 years following up with conservative therapy. On the other side, arthroscopic debridement reduced symptoms and improved the mobility of these knee-joints. Therefore, we have a plan for the management of these complications as follows. The patients in early or asymptomatic stage require no surgical procedure. In suffering from pain, arthroscopic debridement is a very usefull treatment. Unicompartmental knee arthroplasty, high tibial osteotomy or total knee arthroplasty should be warranted in the late stage patients.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
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