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- W2892162983 abstract "Joint preservation surgery is accepted in cases of secondary osteonecrosis of the knee without joint collapse. However, there is no consensus on the best treatment: debridement and drilling, or use of auto- or allograft. The author describes a clinical case with 15 years of evolution where allogeneic osteochondral graft was used in the treatment of osteonecrosis of the lateral femoral condyle in a young woman with systemic lupus. In spite of having other options and of the results reported in the literature, the functional evaluation 15 years later presented excellent results, with total autonomy of the patient for daily life and work tasks, indicating that the option for osteochondral allograft may be a good solution. Nos casos de osteonecrose secundária do joelho sem colapso articular, a cirurgia de preservação articular é aceita. Contudo, não existe consenso quanto ao melhor tratamento: desbridamento e perfuração ou uso de auto ou aloenxerto. O autor descreve um caso clínico com 15 anos de evolução, no qual se usou enxerto alógeno osteocondral no tratamento de osteonecrose do côndilo femoral lateral secundário em paciente jovem com lúpus. Apesar das outras opções disponíveis e dos resultados referidos na literatura, a avaliação funcional, 15 anos depois, mostrou excelente resultado, com total autonomia da paciente para a vida diária e tarefas laborais, indica que a opção por aloenxerto osteocondral pode ser uma boa solução." @default.
- W2892162983 created "2018-09-27" @default.
- W2892162983 creator A5086991939 @default.
- W2892162983 date "2018-11-01" @default.
- W2892162983 modified "2023-10-05" @default.
- W2892162983 title "Osteochondral allograft in a patient with avascular necrosis of the knee secondary to lupus" @default.
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- W2892162983 doi "https://doi.org/10.1016/j.rboe.2018.09.004" @default.
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