Nguyen Ngoc Hung*, Hoang Hai Duc, Le Tuan Anh, Phung Cong Sang, Nguyen Vu Hoang

Department of Surgical, Hanoi General Hospital HongPhat/National Hospital for Pediatrics, Vietnam

*Corresponding Author: Nguyen Ngoc Hung, Department of Surgical, Hanoi General Hospital HongPhat/National Hospital for Pediatrics, Vietnam.

Received: October 30, 2023; Published: November 25, 2023

Abstract

Background: Many treatments for Spontaneous Osteonecrosis of the Knee have been described, but there is little guidance on the use of joint-preserving treatments or the use of Biphosphonate for different stages of the disease.

Methods: A systematic review with narrative synthesis of four bibliographic databases was performed to identify studies evaluating efficacy (clinical, radiological outcomes, and failure rates of joint preservation treatment for SONK.

Results: Identified studies: described non-surgical measures and surgical interventions (Study on one patient and described several treatment methods). One study was a randomized trial evaluating conventional treatment with pain relief, use of biphosphonates, and physical therapy. Treatment is supportive with analgesics and weight-bearing restrictions, and most other joint-preserving surgical interventions. has brought the expected results

Conclusions: Rest and analgesia with or without weight-bearing restrictions appear to be appropriate and often effective first-line treatments for stage I or II or III disease. Arthroplasty, rather than joint-preserving therapy, is the definitive treatment for late-stage disease. For children, this issue needs careful consideration. However, current research is limited and higher-level evidence is needed before it can be said with certainty which joint-preserving treatments are most effective for SONK at different stages.

Keywords: Avascular Necrosis; Knee Pain; Arthroplasty; Osteonecrosis; Spontaneous Osteonecrosis of the Knee, (SONK); Postarthroscopic Osteonecrosis

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Citation

Citation: Nguyen Ngoc Hung., et al. “Spontaneous Osteonecrosis of the Knee (Ahlbäck's disease) in Children, and Overview".Acta Scientific Orthopaedics 6.12 (2023): 54-69.

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Copyright: © 2023 Nguyen Ngoc Hung., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.