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JRPMS Vol 1, No 1, September 2017, p.10-13

doi: 10.22540/JRPMS-01-010

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Case Report Article

Bilateral osteonecrosis of the femoral head in an oocytes donor: A case report

Alexandros Misailidis1, Dimitrios Pallis1, Dimitrios Florin Georgiou1, Christos Zafeiris1, Konstantinos Giannos1, Evangelos Kotsiomitis2, Theodoros Troupis2

  1. 2nd Orthopaedic Department, KAT Hospital, Kifisia, Athens, Greece
  2. Department of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, Greece

Keywords: Osteonecrosis, Femoral head, Assisted fertilization, Ovarian hyperstimulation


Abstract

We report the case of a 31-year-old, previously healthy woman, with bilateral hip pain six months after ovarian stimulation for oocytes retrieval. Plain radiographs of both hips as well as clinical examination at that time, which were performed at a different hospital, showed normal findings. Three months later, however, the patient presented to our department with progressive hip pain. MRI examinations were performed on both hips and revealed bilateral osteonecrosis of the femoral head (Ficat I). Conservative treatment was recommended but the patient failed to complete the suggested clinical reevaluations during this conservative management period and reappeared 17 months after her last visit to our department. At that time, radiographs revealed remarkable collapse of both femoral heads. Consequently, cementless ceramic - ceramic total hip arthroplasty was performed, first on the right hip and three months later on the left.