The Journal of Bone and Joint Surgery, Vol 61, Issue 6 851-856, Copyright © 1979 by Journal of Bone and Joint Surgery, Inc
Osteonecrosis after renal transplantation in children
PJ Stern and HG Watts
Osteonecrosis occurred in nine of thirty-six children following renal
transplantation. The distal femoral condyle was the most common location
but the femoral head was the most symptomatic and required total hip
replacement in three of five patients. Total steroid dosage did not
correlate with the development of osteonecrosis. There were no cases of
osteonecrosis in patients under the skeletal age of ten years or in
patients who did not have rejection reactions. In three children
non-progressive focal lesions developed, similar to those of
osteochondritis dissecans.