Alcohol-induced multifocal osteonecrosis: A case report with 14-year follow-up

Jun Gyu Moon, Gautam M. Shetty, Sandeep Biswal, Ashok Kumar Shyam, Won Yong Shon

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Alcohol-induced osteonecrosis of femoral head is common but multifocal osteonecrosis secondary to alcohol is very rare. The authors report one case of multifocal alcohol-induced osteonecrosis involving both hips and both knees and its subsequent progression and management over a period of 14 years. There was bilateral involvement of hips in pre-collapse stage for which a core decompression was done. The left hip responded well and at 14-year follow-up was asymptomatic with full range of motion. The core decompression surgery failed in the right hip within 1 year and subsequently hybrid total hip replacement arthroplasty was done with good functional results at 13 years follow-up. The diagnosis of knee osteonecrosis was most probably missed initially and was subsequently diagnosed 6 months back due to symptoms of pain and radiographic findings for which a core decompression was done with good early results. The results of treatment of hip was excellent in our patient and despite the rarity, a high degree of suspicion and regular screening is necessary to detect involvement of other areas like the knee in alcohol-induced osteonecrosis.

Original languageEnglish
Pages (from-to)1149-1152
Number of pages4
JournalArchives of Orthopaedic and Trauma Surgery
Issue number10
Publication statusPublished - 2008
Externally publishedYes


  • Alcohol-induced osteonecrosis
  • Multifocal
  • Treatment

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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