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Postoperative Osteonecrosis of the Knee: Incidence, Diagnosis, Management and Results

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Surgery of the Meniscus

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Abstract

Little is known about the aetiology of postarthroscopic osteonecrosis of the knee. Its prevalence is probably very low. The most important differential diagnosis is pre-existing and undiagnosed early-stage spontaneous osteonecrosis of the knee. From the medicolegal point of view, orthopaedic surgeons need to be aware of the diagnostic pitfalls in differentiating between postarthroscopic osteonecrosis of the knee and spontaneous osteonecrosis of the knee, and they must understand that both may be unpreventable conditions. The purpose of this report is to review the current knowledge of the pathophysiology and the clinical and radiographic features as well as the pitfalls in the diagnosis of postarthroscopic osteonecrosis of the knee.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic and Trauma Surgery, Centre Hospitalier Luxembourg, Clinique d’Eich, Akademisches Lehrkrankenhaus der Universität des Saarlandes, 78, rue d’Eich., Luxembourg City, L-1460, Luxembourg

    Dietrich Pape MD, PhD

  2. Department of Orthopaedic Surgery, University of Saarland, Saarland, Germany

    Dietrich Pape MD, PhD

  3. Department of Trauma Surgery, University Hospital Regensburg, Regensburg, Germany

    Peter Angele MD

  4. Department of Orthopedic Surgery, Cabinet Goethe, 23 avenue Niel, Paris, 75017, France

    Patrick Djian MD

Authors
  1. Dietrich Pape MD, PhD
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  2. Peter Angele MD
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  3. Patrick Djian MD
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Corresponding author

Correspondence to Dietrich Pape MD, PhD .

Editor information

Editors and Affiliations

  1. Orthopaedics & Traumatology, Unit INSERM, Normandy University, Caen university Hos, Caen, France

    Christophe Hulet

  2. Orthopedic Department, Centro Hospitalar Póvoa de Varzim –Vila, Póvoa de Varzim, Porto, Portugal

    Helder Pereira

  3. University of Milan, Dpt. of Biomedical Sciences for Health, Milano, Italy

    Giuseppe Peretti

  4. Istituto Clinico Humanitas, Monza, Italy

    Matteo Denti

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Pape, D., Angele, P., Djian, P. (2016). Postoperative Osteonecrosis of the Knee: Incidence, Diagnosis, Management and Results. In: Hulet, C., Pereira, H., Peretti, G., Denti, M. (eds) Surgery of the Meniscus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49188-1_44

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  • DOI: https://doi.org/10.1007/978-3-662-49188-1_44

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