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Open Access Case report

Autogenous osteochondral graft transplantation for steroid-induced osteonecrosis of the femoral condyle: A report of three young patients

Norifumi Fujita, Tomoyuki Matsumoto, Seiji Kubo, Takehiko Matsushita, Kazunari Ishida, Yuichi Hoshino, Koji Nishimoto, Masahiro Kurosaka and Ryosuke Kuroda*

Author Affiliations

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan

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Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology 2012, 4:13  doi:10.1186/1758-2555-4-13

Published: 26 April 2012

Abstract

Steroid-induced osteonecrosis of the femoral condyle is a relatively uncommon condition and is often difficult to select appropriate treatment especially in young patients. Three young men (aged 25, 18, and 24) presented with severe pain and dysfunction of the knee diagnosed as steroid-induced osteonecrosis of the femoral condyle by magnetic resonance imaging (MRIs). Full-thickness cartilage defects sized 20 × 10, 15 × 10, and 30 × 20 mm respectively were classified as International Cartilage Repair Society Grade IV lesions and treated with osteochondral autograft transplantation. They were treated successfully with osteochondral autograft transplantation certificated by post-operative MRI and second look arthroscopy.

Keywords:
Steroid-induced osteonecrosis; Osteochodral autograft transplantation; Mosaicplasty; Femoral condyle