Evidence map›Paper›PMID 37711846›Full record

ArticleJournal of surgical case reports2023

Osteochondral autologous transplantation for large steroid-induced osteonecrosis lesion of the knee in a young patient yielding satisfactory results despite only partial coverage: a case report.

Shunsuke Akai, Tomoya Iseki, Ryo Kanto, Takuya Iseki, Shintaro Onishi, Yoshitaka Nakao, Shinichi Yoshiya, Toshiya Tachibana, Hiroshi Nakayama

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Shunsuke AkaiDepartment of Orthopaedic Surgery, Hyogo Medical University, Nishinomiya, Hyogo 663-8501, Japan.
Tomoya IsekiDepartment of Orthopaedic Surgery, Hyogo Medical University, Nishinomiya, Hyogo 663-8501, Japan.
Ryo KantoDepartment of Orthopaedic Surgery, Hyogo Medical University, Nishinomiya, Hyogo 663-8501, Japan.
Takuya IsekiDepartment of Orthopaedic Surgery, Hyogo Medical University, Nishinomiya, Hyogo 663-8501, Japan.
Shintaro OnishiDepartment of Orthopaedic Surgery, Nishinomiya Kaisei Hospital, Nishinomiya, Hyogo 662-0957, Japan.
Yoshitaka NakaoDepartment of Orthopaedic Surgery, Nishinomiya Kaisei Hospital, Nishinomiya, Hyogo 662-0957, Japan.
Shinichi YoshiyaDepartment of Orthopaedic Surgery, Nishinomiya Kaisei Hospital, Nishinomiya, Hyogo 662-0957, Japan.
Toshiya TachibanaDepartment of Orthopaedic Surgery, Hyogo Medical University, Nishinomiya, Hyogo 663-8501, Japan.
Hiroshi NakayamaDepartment of Orthopaedic Surgery, Hyogo Medical University, Nishinomiya, Hyogo 663-8501, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteochondral autologous transplantation (OAT) is one of the most common surgical options for osteochondral disorders of the knee. In cases where OAT is performed for steroid-induced osteonecrosis, there are several problems potentially affecting the surgical outcomes such as large chondral damage area and compromised host bone. In addition, steroid administration for a long period of time may lead to extensive lesion, which poses difficulty in obtaining sufficient donor tissue. Those factors affect the prognosis of steroid-induced osteonecrosis resulting in inferior treatment outcomes. We present a young female with a large steroid-induced osteonecrosis lesion repaired only with two osteochondral plugs harvested from the healthy area. The reported case indicates that only partial osteochondral grafting limiting to the weight-bearing area may yield satisfactory outcome when OAT is performed for large steroid-induced osteonecrosis of the knee.

Indexed as

femoral condylehyaline cartilageosteochondral autograft transplantationosteochondral graftssteroid-induced osteonecrosis

Identifiers

PMID37711846
PMCPMC10497884

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