Spontaneous Osteonecrosis of the Knee: State of the Art

被引:7
|
作者
Veloz Serrano, Daniel [1 ]
Saseendar, Samundeeswari [2 ]
Shanmugasundaram, Saseendar [2 ]
Bidwai, Rohan [3 ]
Gomez, Diego [1 ]
D'Ambrosi, Riccardo [4 ,5 ]
机构
[1] Hosp Britan Buenos Aires, C1280 AEB, Buenos Aires, DF, Argentina
[2] Apollo Hosp Muscat, Muscat 131, Oman
[3] York Teaching Hosp NHS Fdn Trust, York YO31 8HE, N Yorkshire, England
[4] IRCCS, Ist Ortoped Galeazzi, I-20161 Milan, Italy
[5] Univ Milan, Dipartimento Sci Biomed Salute, I-20133 Milan, Italy
关键词
knee; spontaneous osteonecrosis of the knee; SPONK; osteoarthritis; bone marrow lesions; MEDIAL FEMORAL CONDYLE; TIBIAL PLATEAU; ROOT TEAR; SONK;
D O I
10.3390/jcm11236943
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Osteonecrosis is a terrible condition that can cause advanced arthritis in a number of joints, including the knee. The three types of osteonecrosis that can affect the knee are secondary, post-arthroscopic, and spontaneous osteonecrosis of the knee (SPONK). Regardless of osteonecrosis classification, treatment for this condition seeks to prevent further development or postpone the onset of knee end-stage arthritis. Joint arthroplasty is the best course of action whenever there is significant joint surface collapse or there are signs of degenerative arthritis. The non-operative options for treatment at the moment include observation, nonsteroidal anti-inflammatory medications (NSAIDs), protective weight bearing, and analgesia if needed. Depending on the severity and type of the condition, operational procedures may include unilateral knee arthroplasty (UKA), total knee arthroplasty (TKA), or joint preservation surgery. Joint preservation techniques, such as arthroscopy, core decompression, osteochondral autograft, and bone grafting, are frequently used in precollapse and some postcollapse lesions, when the articular cartilage is typically unaffected and only the underlying subchondral bone is affected. In contrast, operations that try to save the joint following significant subchondral collapse are rarely successful and joint replacement is required to ease discomfort. This article's goal is to summarise the most recent research on evaluations, clinical examinations, imaging and various therapeutic strategies for osteonecrosis of the knee, including lesion surveillance, medicines, joint preservation methods, and total joint arthroplasty.
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页数:10
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