A propósito de un caso: mujer de 43 años con necrosis avascular del cóndilo femoral externo

José Ignacio Torres Jiménez , Emilio Cervera Barba
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Abstract

Osteonecrosis is a disease with a great clinical repercussions due to its tendency to affect young adults, and to the frequent progression of the disease despite treatment. It is a complex disease in its pathophysiology, aetiology, evolution and treatment. After the femoral head, the most frequent location is the knee, especially the internal femoral condyle. The diagnosis is usually confirmed with a magnetic resonance scan. Non-steroidal anti-inflammatory drugs, bisphosphonates, surgery, and other treatments have been employed, but there is currently no specific effective treatment. The prognosis depends on the state and size of the lesion. In best of cases it may progress to cure spontaneously in a period of 3 to 8 months. The case is presented of a 43 year-old woman with avascular necrosis of the external femoral condyle of the left knee that was clinically and radiologically cured with protocolised homeopathic treatment in two months.

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1例:43岁女性股骨外髁缺血性坏死
骨坏死是一种具有巨大临床影响的疾病,因为它倾向于影响年轻人,尽管治疗,疾病仍经常进展。它在病理生理、病因、进化和治疗上都是一个复杂的疾病。除股骨头外,最常见的位置是膝关节,尤其是股骨内髁。诊断通常通过磁共振扫描来证实。非甾体抗炎药、双膦酸盐、手术和其他治疗方法已被采用,但目前尚无具体有效的治疗方法。预后取决于病变的状态和大小。在最好的情况下,它可以在3至8个月的时间内自行治愈。该病例是一名43岁的女性,左膝股骨外髁无血管性坏死,经过两个月的顺势疗法治疗,在临床和放射学上治愈。
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