Osteonecrose espontânea do joelho em atleta tratamento com o uso de câmara hiperbárica: relato de caso e revisão de literatura

Barroso, Guilherme; Fuchs, Thiago; Thiele, Edilson Schwansee; Cat, Mônica Nunes Lima

doi:10.1590/s0102-36162012000300020

Rev. bras. ortop.

2012

DOI: 10.1590/s0102-36162012000300020

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Osteonecrose espontânea do joelho em atleta tratamento com o uso de câmara hiperbárica: relato de caso e revisão de literatura

Guilherme Barroso¹,

Thiago Fuchs²,

Edilson Schwansee Thiele³

et al.

Abstract: Osteonecrosis is a clinical syndrome characterized by osseous necrosis of a load-bearing portion of the femoral condyle, followed by subchondral fracturing, subsequent segmental collapse and arthrosis. It most frequently affects obese women over the age of 55 years. Its treatment is still a matter of controversy in the literature. The authors report the case of a 24-year--old male patient who was a professional soccer player, who presented with a complaint of knee pain one day after physical activity. Imaging … Show more

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Femoral condylar necrosis: treatment with hyperbaric oxygen therapy

et al. 2018

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BackgroundOsteonecrosis of the knee (ONK) is a form of aseptic necrosis resulting from ischemia to subchondral bone tissue. Typically, treatment is invasive. Hyperbaric oxygen therapy (HBOT) may provide a noninvasive alternative by improving oxygenation and reperfusion of ischemic areas. This study evaluates the efficacy of HBOT in a series of ONK patients.MethodsThis retrospective study evaluates 37 ONK patients (29 male, 8 female; mean age ± 1 standard deviation: 54 ± 14); 83.7% of patients presented with Aglietti stage I-II; 16.3% presented with Aglietti stage III. Patients were treated with HBOT once a day, 5 days a week, at 2.5 atmosphere absolute with 100% inspired oxygen by mask for an average of 67.9 ± 15 sessions. Magnetic resonance imaging was performed before HBOT, within 1 year after completion of HBOT, and in 14 patients, 7 years after treatment. Oxford Knee Scores (OKSs) were recorded before HBOT and at the end of each HBOT treatment cycle.ResultsAfter the 30 sessions of HBOT, 86% of patients experienced improvement in their OKS, 11% worsened, and 3% did not change. All patients improved in OKS after 50 sessions. Magnetic resonance imaging evaluation 1 year after HBOT completion showed that edema at the femoral condyle had resolved in all but 1 patient.ConclusionsHBOT is beneficial for treating ONK. Patients experienced improvements in pain and mobility as demonstrated by improvement in OKS. Radiographic improvements were also seen upon post-treatment follow-up. Aglietti staging for the entire sample saw an aggregate decrease (P < .01) from 1.7 ± 0.7 to 0.3 ± 0.6.

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Femoral condylar necrosis: treatment with hyperbaric oxygen therapy

et al. 2018

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Effectiveness of hyperbaric oxygen therapy in bone marrow edemas of the knee: A retrospective study

Ozturan

Akyuerek²

2023

Medicine

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Bone marrow edema (BME) is a self-limiting syndrome that can be caused by many pathological conditions. The most frequently seen symptom of BME is pain. Hyperbaric oxygen therapy (HBOT) is an available treatment. This study aims to present the clinical results of quantitatively evaluating the use of HBOT. We evaluated all BME patients 18 to 65 years old without osteoarthritis, inflammatory rheumatological disease, or malignancy diagnosed through magnetic resonance imaging. All were treated with acetylsalicylic acid (100 mg daily) and bisphosphonates (70 mg alendronate once a week) and were instructed to avoid weight-bearing activities. Some of the patients also received HBOT. We divided the patients into 2 groups: 1 group took HBOT; the other did not. We used the Wilcoxon test to compare groups. HBOT is an effective treatment option for BME. We quantitatively measured faster healing when HBOT was used for BME of the knee. There were no significant side effects.

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Osteonecrose espontânea do joelho em atleta tratamento com o uso de câmara hiperbárica: relato de caso e revisão de literatura

Cited by 2 publications

References 10 publications

Femoral condylar necrosis: treatment with hyperbaric oxygen therapy

Femoral condylar necrosis: treatment with hyperbaric oxygen therapy

Effectiveness of hyperbaric oxygen therapy in bone marrow edemas of the knee: A retrospective study

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