Skip to main content
SpringerLink
Log in

Retrograde reaming of the femoral canal for secondary bilateral osteonecrosis of the knee

  • Case Report
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

The knee is the second most common anatomical location for osteonecrosis after the femoral head. The aim of this paper was, on the one hand, to report the clinical and radiological results of a 57-year-old man, who was treated by mean of retrograde reaming of the femoral canal for secondary bilateral osteonecrosis of the knee, localized in the metaphysis and on the other hand to make a literature review. The quality of the results encourages us to propose this technique for this particular type of osteonecrosis of the knee.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Mankin HJ (1992) Non-traumatic necrosis of bone (osteonecrosis). N Engl J Med 326:1473–1479

    PubMed  CAS  Google Scholar 

  2. Mont MA, Tomek IM, Hungerford DS (1997) Core decompression for avascular necrosis of the distal femur: long term followup. Clin Orthop 334:124–130

    PubMed  Google Scholar 

  3. Perez Carro L, Gomez Cimiano FJ, Gomez del Alamo G, Garcia Suarez G (1996) Core decompression and arthroscopic bone grafting for avascular necrosis of the knee. Arthroscopy 12:323–326

    Article  PubMed  CAS  Google Scholar 

  4. Fukui N, Kurosawa H, Kawakami A, Sakai H, Nakamura K (2002) Iliac bone graft for steroid-associated osteonecrosis of the femoral condyle. Clin Orthop 401:185–193

    Article  PubMed  Google Scholar 

  5. Rijnen W, Wim HC, Luttjeboer J, Schreurs BW, Gardeniers J (2006) Bone impaction grafting for corticosteroid-associated osteonecrosis of the knee. J Bone Joint Surg [Am] 88:62–68

    Article  Google Scholar 

  6. Marulanda G, Seyler TM, Sheikh NH, Mont MA (2006) Percutaneous drilling for the treatment of secondary osteonecrosis of the knee. J Bone Joint Surg [Br] 88-B(6):740–746

    Google Scholar 

  7. Koshino T, Okamoto R, Takamura K, Tsuchiya K (1979) Arthroscopy in spontaneous osteonecrosis of the knee. Orthop Clin North Am 10:609–618

    PubMed  CAS  Google Scholar 

  8. Mont MA, Rifai A, Baumgarten KM, Sheldon M, Hungerford DS (2002) Total knee arthroplasty for osteonecrosis. J Bone Joint Surg [Am] 84-A:599–603

    Google Scholar 

  9. Seldes RM, Tan V, Duffy G, Rand JA, Lotke PA (1999) Total knee arthroplasty for steroid-inducted osteonecrosis. JArthroplasty 14:533–537

    Article  CAS  Google Scholar 

  10. Ficat RP, Arlet J (1980) Functional investigation of bone under normal conditions. In: Hungerford DS (ed) Ischemia and necrosis of bone. Williams and Wilkins, Baltimore, pp 29–52

    Google Scholar 

  11. Ficat RP (1981) Nécrose aseptique de la tête femoral. Pathogénie: la théorie circulatoire. Acta Orthop Belgica 47:198–199

    CAS  Google Scholar 

  12. Fica RP (1985) Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg 67-B(1):3–9

    Google Scholar 

  13. Mont MA, Hungerford DS (1997) Osteonecrosis of the shoulder, knee, and ankle. In: Urbaniak JR, Jones Rosemont JP (eds) Osteonecrosis: etiology, diagnosis, and treatment. American Academy of Orthopaedic Surgeons, Illinois, pp 429–436

    Google Scholar 

  14. Motohashi M, Morii T, Koshino T (1991) Clinical course and roentgenographic changes of osteonecrosis in the femoral condyle under conservative treatment. Clin Orthop 266:156–161

    PubMed  Google Scholar 

  15. Narvaez J, Narvaez JA, Rodriguez-Moreno J, Roig-Escofet D (2000) Osteonecrosis of the knee: differences among idiopathic and secondary types. Rheumatology (Oxford) 39:982–989

    Article  CAS  Google Scholar 

  16. Soucacos PN, Johnson EO, Soultanis K, Vekris MD, Theodorou SJ, Beris AE (2004) Diagnosis and management of the osteonecrotic triad of the knee. Orthop Clin North Am 35:371–381

    Article  PubMed  Google Scholar 

  17. Ahuja SC, Bullough PG (1978) Osteonecrosis of the knee. A clinicopathological study in twenty-eight patients. J Bone Joint Surg Am 60:191–197

    PubMed  CAS  Google Scholar 

  18. Jacobs MA, Loeb PE, Hungerford DS (1989) Core decompression of the distal femur for avascular necrosis of the knee. J Bone Joint Surg Br 71:583–587

    PubMed  CAS  Google Scholar 

  19. Meyers MH, Akeson W, Convery FR (1989) Resurfacing of the knee with fresh osteochondral allograft. J Bone Joint Surg Am 71:704–713

    PubMed  CAS  Google Scholar 

  20. Mont MA, Tomek IM, Hungerford DS (1997) Core decompression for avascular necrosis of the distal femur: long term followup. Clin Orthop Relat Res 334:124–130

    Article  PubMed  Google Scholar 

  21. Mont MA, Baumgarten KM, Keith M, Rifai A, Bluemke DA, Jones LC, Hungerford DS (2000) Atraumatic osteonecrosis of the knee. J Bone Joint Surg Am 82-A(9):1279–1290

    Google Scholar 

  22. Bayne O, Langer F, Pritzker KP, Houpt J, Gross AE (1985) Osteochondral allografts in the treatment of osteonecrosis of the knee. Orthop Clin North Am 16:727–740

    PubMed  CAS  Google Scholar 

  23. Flynn JM, Springfield DS, Mankin HJ (1994) Osteoarticular allografts to treat distal femoral osteonecrosis. Clin Orthop Relat Res 303:38–43

    PubMed  Google Scholar 

  24. Marmor L (1993) Unicompartmental arthroplasty for osteonecrosis of the knee joint. Clin Orthop Relat Res 294:247–253

    PubMed  Google Scholar 

  25. Bergman NR, Rand JA (1991) Total knee arthroplasty in osteonecrosis. Clin Orthop Relat Res 273:77–82

    PubMed  Google Scholar 

  26. Mont MA, Rifai A, Baumgarten KM, Sheldon M, Hungerford DS (2002) Total knee arthroplasty for osteonecrosis. J Bone Joint Surg Am 84-A(4):599–603

    PubMed  Google Scholar 

  27. Ragland P, Dolphin M, Etienne G, Mont M (2004) Treatment of osteonecrosis of the knee. Tech knee surg 3(3):163–169

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinique Universitaire de Chirurgie Orthopédique et de Traumatologie du Sport, CHU de Grenoble, Hôpital Sud, 38130, Echirolles, France

    M. Ravenda, S. Ionescu & D. Saragaglia

Authors
  1. M. Ravenda
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Ionescu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. Saragaglia
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. Saragaglia.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ravenda, M., Ionescu, S. & Saragaglia, D. Retrograde reaming of the femoral canal for secondary bilateral osteonecrosis of the knee. Eur J Orthop Surg Traumatol 19, 117–120 (2009). https://doi.org/10.1007/s00590-008-0382-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-008-0382-x

Keywords

Search

Navigation