caa a22 4500 605456593 CHVBK 20210128100218.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00167-014-3239-3 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3239-3 Steroid-induced femoral head osteonecrosis in immune thrombocytopenia treatment with osteochondral autograft transplantation [Elektronische Daten] [Vasileios Fotopoulos, George Mouzopoulos, Themistoklis Floros, Matthaios Tzurbakis] Osteonecrosis of the femoral head is a devastating complication of steroid administration and has rarely been observed in the treatment of immune thrombocytopenia. The treatment of osteochondral defects in advanced stages of avascular necrosis (AVN), characterized by collapse of the subchondral bone, remains an unsolved burden in orthopedic surgery. In this report, we present a case of a 19-year-old female that was admitted in the Emergency Department with walking disability and painful hip joint movement due to steroid-induced femoral head osteonecrosis. Two years before she was diagnosed with immune thrombocytopenia, for which she received pulse steroid therapy with high dose of dexamethasone and underwent a splenectomy. This case report is the first to describe the use of osteochondral autograft transplantation as a treatment of steroid-induced AVN of the femoral head due to immune thrombocytopenia at the age of 19years with very good clinical and radiological results 3years postoperatively. Level of evidence V. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Fotopoulos Vasileios "Evangelismos” General Hospital of Athens, 45-47 Ipsilantou Str., 10676, Athens, Greece aut Mouzopoulos George "Evangelismos” General Hospital of Athens, 45-47 Ipsilantou Str., 10676, Athens, Greece aut Floros Themistoklis "Evangelismos” General Hospital of Athens, 45-47 Ipsilantou Str., 10676, Athens, Greece aut Tzurbakis Matthaios "Evangelismos” General Hospital of Athens, 45-47 Ipsilantou Str., 10676, Athens, Greece aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2605-2610 0942-2056 23:9<2605 2015 23 167 https://doi.org/10.1007/s00167-014-3239-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3239-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fotopoulos Vasileios "Evangelismos” General Hospital of Athens, 45-47 Ipsilantou Str., 10676, Athens, Greece aut NATIONALLICENCE 700 1- Mouzopoulos George "Evangelismos” General Hospital of Athens, 45-47 Ipsilantou Str., 10676, Athens, Greece aut NATIONALLICENCE 700 1- Floros Themistoklis "Evangelismos” General Hospital of Athens, 45-47 Ipsilantou Str., 10676, Athens, Greece aut NATIONALLICENCE 700 1- Tzurbakis Matthaios "Evangelismos” General Hospital of Athens, 45-47 Ipsilantou Str., 10676, Athens, Greece aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2605-2610 0942-2056 23:9<2605 2015 23 167