PMID: 9170373May 1, 1997Paper

Total knee arthroplasty for corticosteroid associated avascular necrosis of the knee

Clinical Orthopaedics and Related Research
M A MontD S Hungerford

Abstract

Despite their age, patients younger than 50 years who have collapse of their femoral condyles caused by steroid associated avascular necrosis have few options except total knee arthroplasty. There have been no specific reports of the results of total knee replacements for this disease. Between 1980 and 1993, 31 porous coated anatomic total knee replacements were performed in 21 patients younger than 50 years of age with avascular necrosis of the femoral condyles and tibial plateaus. There were 17 women and 4 men, with an average age of 36 years (range, 22-48 years). Seventeen of 21 patients had systemic lupus erythematosus, and all patients had a history of corticosteroid use. Patients underwent a complete clinical and radiographic evaluation at final followup that averaged 8.2 years (range, 2-16 years). Overall, there were 17 good and excellent results (55%). Eleven knees were revised for aseptic loosening (37%), and 3 additional knees (10%) ultimately were revised for deep sepsis. All 6 knees in patients with no diagnosis of systemic lupus erythematosus had excellent clinical results. There were only 11 of 25 successful outcomes (44%) in the patients with systemic lupus erythematosus. There were no differences in results when...Continue Reading

References

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Citations

Jun 20, 2000·The Journal of Bone and Joint Surgery. American Volume·T Yamamoto, P G Bullough
Sep 15, 2000·Rheumatology·J NarváezD Roig-Escofet
Feb 24, 2001·Clinical Orthopaedics and Related Research·K M BaumgartenD S Hungerford
Sep 2, 2008·Archives of Orthopaedic and Trauma Surgery·Jerôme BoquetPascal Poilvache
Jan 24, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ryohei TakeuchiTomoyuki Saito
Oct 3, 2012·Orthopedics·Jimmy J JiangRobert J Bielski
May 3, 2016·Sports Medicine and Arthroscopy Review·Frantz LereboursBert Mandelbaum
May 1, 1997·Clinical Orthopaedics and Related Research·M A MontD S Hungerford
May 25, 2006·The Journal of Bone and Joint Surgery. British Volume·G MarulandaM A Mont
Jul 29, 2009·Orthopedics·Brandon YuanRobert T Trousdale
May 16, 2009·La Radiologia medica·A Fotiadou, A Karantanas
Aug 3, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Michael A MontJohn A Carrino
Nov 2, 2019·The Bone & Joint Journal·Brian P ChalmersMatthew P Abdel
Apr 8, 2020·The Journal of Knee Surgery·Hytham S SalemMichael A Mont
May 1, 1998·The Journal of Bone and Joint Surgery. American Volume·R E DelanoisD S Hungerford
Nov 14, 2002·The Journal of Bone and Joint Surgery. American Volume·Michael A MontDavid S Hungerford
Aug 5, 2004·Der Schmerz·M JägerR Krauspe
Feb 22, 2005·Archives of Orthopaedic and Trauma Surgery·Anders BjörkmanGöran Benoni
Jul 23, 2016·Current Rheumatology Reports·Shanthini Kasturi, Susan Goodman
Jun 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Nicholas J GrecoKeith R Berend
Jun 30, 2019·Skeletal Radiology·Samia SayyidFelix M Gonzalez
Sep 27, 2000·The Journal of Bone and Joint Surgery. American Volume·M A MontD S Hungerford
Apr 10, 2002·The Journal of Bone and Joint Surgery. American Volume·Michael A MontDavid S Hungerford
Apr 29, 2015·Clinical Orthopaedics and Related Research·Dipal ChatterjeeLaith Jazrawi
Aug 2, 2002·Clinical Orthopaedics and Related Research·Naoshi FukuiKozo Nakamura
Apr 25, 2013·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·L M Rubio-Martínez, A Carstens
Oct 5, 2020·The Journal of Arthroplasty·Krit BoontanapibulStuart B Goodman
Jun 26, 2007·Clinical Orthopaedics and Related Research·Sebastien ParratteJean-Manuel Aubaniac
Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Peter M BonuttiMichael A Mont
Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Thomas G MyersKhaled J Saleh
Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Wim H C RijnenJean W M Gardeniers
Jun 13, 2020·The Journal of Arthroplasty·Krit BoontanapibulStuart B Goodman
Dec 7, 2018·The Journal of Arthroplasty·Matthieu OllivierJean-Noël Argenson
Aug 9, 2002·The Journal of Arthroplasty·Michael A MontDavid S Hungerford
Aug 2, 2003·The Knee·Elias Ch PapadopoulosDemetrios S Korres
Jul 14, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Isik AkgunKaya Kanberoglu
May 17, 2005·Radiologic Clinics of North America·Frédéric E LecouvetBruno C Vande Berg
Apr 18, 2000·Rheumatic Diseases Clinics of North America·M A Mont, L C Jones
Aug 9, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Takuma KaibaraNorimasa Iwasaki
Mar 25, 2008·European Journal of Radiology·Taj M Kattapuram, Susan V Kattapuram
Jul 21, 2009·The Knee·Michael G ZywielMichael A Mont

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