Cargando…

Joint-preserving surgery for idiopathic bilateral osteonecrosis of the distal tibia: A case report

INTRODUCTION: Osteonecrosis (ON) is a serious pathological condition that can affect weight-bearing areas of the lower limbs, including the distal tibia. Although trauma is a common cause of ON, the condition has multiple possible etiologies. ON has been associated with a range of factors, including...

Descripción completa

Detalles Bibliográficos
Autores principales: Honeine, Mohamad Omar Y, Ghanem, Wendy M, Otayek, Joeffroy N, Dib, Nabil G, Badra, Mohammad I, Moucharafieh, Ramzi S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10599365/
https://www.ncbi.nlm.nih.gov/pubmed/37885632
http://dx.doi.org/10.13107/jocr.2023.v13.i10.3932
Descripción
Sumario:INTRODUCTION: Osteonecrosis (ON) is a serious pathological condition that can affect weight-bearing areas of the lower limbs, including the distal tibia. Although trauma is a common cause of ON, the condition has multiple possible etiologies. ON has been associated with a range of factors, including trauma, medication use, alcoholism, and vascular disease. Interruption of blood flow to a particular bone region is the first step in the pathophysiology of ON. Conservative management is typically indicated in the early stages of ON, but joint-preserving procedures may be necessary in cases where conservative treatment fails. CASE REPORT: This article presents a case of bilateral ON of the distal tibia in a 38-year-old female patient without a history of trauma or identifiable risk factors. The patient was initially managed conservatively but ultimately underwent joint-preserving surgery due to treatment failure. CONCLUSION: Joint-preserving procedures should be considered in cases of early-stage distal tibia ON that do not respond to conservative management to prevent joint collapse. This case highlights the importance of considering ON as a possible diagnosis even in the absence of identifiable risk factors or trauma.