Alcohol-induced multifocal osteonecrosis: a case report with 14-year follow-up

Archives of Orthopaedic and Trauma Surgery
Jun Gyu MoonWon Yong Shon

Abstract

Alcohol-induced osteonecrosis of femoral head is common but multifocal osteonecrosis secondary to alcohol is very rare. The authors report one case of multifocal alcohol-induced osteonecrosis involving both hips and both knees and its subsequent progression and management over a period of 14 years. There was bilateral involvement of hips in pre-collapse stage for which a core decompression was done. The left hip responded well and at 14-year follow-up was asymptomatic with full range of motion. The core decompression surgery failed in the right hip within 1 year and subsequently hybrid total hip replacement arthroplasty was done with good functional results at 13 years follow-up. The diagnosis of knee osteonecrosis was most probably missed initially and was subsequently diagnosed 6 months back due to symptoms of pain and radiographic findings for which a core decompression was done with good early results. The results of treatment of hip was excellent in our patient and despite the rarity, a high degree of suspicion and regular screening is necessary to detect involvement of other areas like the knee in alcohol-induced osteonecrosis.

References

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Citations

Jun 8, 2014·International Journal of Oral and Maxillofacial Surgery·T GanderM Bredell
Dec 1, 2015·Case Reports in Orthopedics·Kazu MatsumotoHaruhiko Akiyama
Dec 14, 2011·Clinical Orthopaedics and Related Research·Pil Whan YoonHee Joong Kim

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