Education, Science, Technology, Innovation and Life
Open Access
Sign In

Systemic Bone Infarction in Middle-Aged Women: A Case Report

Download as PDF

DOI: 10.23977/medsc.2023.040201 | Downloads: 15 | Views: 265


Hua Shan 1, Tangfen Liu 1, Jun Zhang 2, Zhongyuan Wan 3, Chunfeng Cao 4, Haiqiang Wang 1


1 Shaanxi University of Chinese Medicine, Xianyang, 712046, China
2 Department of Orthopedics, Baoji Central Hospital, Baoji, 721008, China
3 Department of Orthopedics, The Seventh Medical Center of General Hospital of PLA, Beijing, 510180, China
4 Department of Orthopedics, Yongchuan Hospital of Chongqing Medical University, Chongqing, 400042, China

Corresponding Author

Haiqiang Wang


Objective: Report a complete case of rare multiple bone infarction in a 42-year-old woman, including diagnosis, treatment and follow-up results, so as to improve the understanding of the diagnosis and treatment of systemic multiple bone infarction. Methods: With the help of kirschner needle, the medulla of bilateral osteonecrosis of the femoral head was decompressed, the cystic cavity and bone graft were treated and covered with cortical bone slices of corresponding size. Drilling decompression of bilateral femur and bilateral tibia. Remove the dead bone in the osteonecrosis area caused by bone infarction, reduce inflammation, and take the dead bone for pathological examination. Results: The distension of both lower limbs, the pain and discomfort basically disappeared, the food was OK, the second stool was adjusted, and the sleep was normal; physical examination: the wound dressings of the lower limbs were well bandaged, the dressings were dry, no obvious exudation was found, the local tenderness was positive, the muscle strength of both lower limbs was normal, and the peripheral blood circulation was normal. Conclusion: The operation can effectively and thoroughly curette the focus, improve the blood circulation, reduce the pressure, and provide mechanical support to prevent fracture. The new bone graft provides a scaffold for the growth of neovascularization.


Middle-Aged Women, Systemic Bone Infarction, Surgical Treatment, Case Report


Hua Shan, Tangfen Liu, Jun Zhang, Zhongyuan Wan, Chunfeng Cao, Haiqiang Wang, Systemic Bone Infarction in Middle-Aged Women: A Case Report. MEDS Clinical Medicine (2023) Vol. 4: 1-8. DOI:


[1] Mcleod J M, Ng A, Kruse D L, et al. Nontraumatic Osteonecrosis of the Distal Tibia: A Case Presentation and Review of the Literature[J]. Journal of Foot & Ankle Surgery, 2017:S1067251616300023.
[2] Domene Moros, R., Carro Alonso, B., Sainz Martinez, J.M., et al. (2014) Multiple bone infarcts. Med Clin (Barc), 142(10): 472.
[3] Lafforgue P. and Trijau S. (2016) Bone infarcts: Unsuspected gray areas? Joint Bone Spine, 83(5): 495-9.
[4] Oesman I, Adhimukti D H. Osteonecrosis of the distal tibia in systemic lupus erythematosus: A rare case report[J]. International Journal of Surgery Case Reports, 2020, 77(1):126-128.
[5] Rhatomy S, Dilogo I H. Core Decompression and Biological Treatment in Osteonecrosis of the Hip due to Systemic Lupus Erythematosus, 8-year Follow-up: A Case Report[J]. Open Access Macedonian Journal of Medical Sciences, 2021, 9(C):1-6.
[6] Bednarek A, Atras A, Jacek Gągała, et al. Operative technique and results of core decompression and filling with bone grafts in the treatment of osteonecrosis of femoral head. [J]. Ortopedia Traumatologia Rehabilitacja, 2010, 12(6):511.
[7] Saini A. and Saifuddin A. (2004) MRI of osteonecrosis. Clin Radiol, 59(12): 1079-93.
[8] Yang F, Yang X, Ge J, et al. Platelet-rich plasma mixed with bone graft during core decompression in treatment of osteonecrosis of femoral head: prospective randomised controlled trial[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2016.
[9] Konarski W., Pobozy T., Hordowicz M., et al. (2022) Bone Infarcts and Tumorigenesis-Is There a Connection? A Mini-Mapping Review. Int J Environ Res Public Health, 19(15).
[10] Domson G.F., Shahlaee A., Reith J.D., et al. (2009) Infarct-associated bone sarcomas. Clin Orthop Relat Res, 467(7): 1820-5.
[11] Xian H, Luo D, Wang L, et al. Platelet-Rich Plasma-Incorporated Autologous Granular Bone Grafts Improve Outcomes of Post-Traumatic Osteonecrosis of the Femoral Head[J]. The Journal of Arthroplasty, 2019, 35(2).
[12] Lin D, Lian K, Ding Z. Platelet-Rich Plasma Incorporated Autologous Bone Improves Outcome for Patients with Posttraumatic Osteonecrosis of the Femoral Head: A Comparative Study. 2018.
[13] Spaargaren G.J. and Rutten M.J. (2011) Multiple bone infarcts of the left femur and tibia. JBR-BTR, 94(3): 134-5.

Downloads: 3330
Visits: 131658

Sponsors, Associates, and Links

All published work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2016 - 2031 Clausius Scientific Press Inc. All Rights Reserved.