Alcohol-induced multifocal osteonecrosis: A case report with 14-year follow-up

Jun Gyu Moon, Gautam M. Shetty, Sandeep Biswal, Ashok Kumar Shyam, Won Yong Shon

    Research output: Contribution to journalArticlepeer-review

    7 Citations (Scopus)

    Abstract

    Alcohol-induced osteonecrosis of femoral head is common but multifocal osteonecrosis secondary to alcohol is very rare. The authors report one case of multifocal alcohol-induced osteonecrosis involving both hips and both knees and its subsequent progression and management over a period of 14 years. There was bilateral involvement of hips in pre-collapse stage for which a core decompression was done. The left hip responded well and at 14-year follow-up was asymptomatic with full range of motion. The core decompression surgery failed in the right hip within 1 year and subsequently hybrid total hip replacement arthroplasty was done with good functional results at 13 years follow-up. The diagnosis of knee osteonecrosis was most probably missed initially and was subsequently diagnosed 6 months back due to symptoms of pain and radiographic findings for which a core decompression was done with good early results. The results of treatment of hip was excellent in our patient and despite the rarity, a high degree of suspicion and regular screening is necessary to detect involvement of other areas like the knee in alcohol-induced osteonecrosis.

    Original languageEnglish
    Pages (from-to)1149-1152
    Number of pages4
    JournalArchives of Orthopaedic and Trauma Surgery
    Volume128
    Issue number10
    DOIs
    Publication statusPublished - 2008

    Keywords

    • Alcohol-induced osteonecrosis
    • Multifocal
    • Treatment

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

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