Abstract
A young, generally healthy woman presented herself to the Clinic of Orthopedics and Traumatology at the Military Medical Institute due to worsening pain in her left knee joint for the past few months. Based on the physical examination and provided medical documentation, she was diagnosed with aseptic avascular necrosis of the bone in the area of the medial condyle of the left femur. The patient was qualified for laparoscopic surgical treatment. The perioperative period proceeded without complications, and the patient was discharged home with a recommendation of complete non-weight-bearing on the operated limb for six weeks.
During a follow-up visit, which took place 4 days after hospital discharge, the patient was referred for hyperbaric oxygenation treatment at the Clinical Department of Hyperbaric Medicine at Military Medical Institute. After excluding contraindications, a cycle of 60 compressions in the hyperbaric chamber was initiated, with oxygenation therapy conducted up to a value of 2.5 ATA. Shortly before completing the treatment in the hyperbaric medicine department, an imaging study was recommended to capture the extent of reparative changes that occurred during treatment. The study was conducted using a three-phase bone scintigraphy technique with the radioisotope Tc-99m-MDP.
At present, the patient is feeling well. There are no pain complaints related to the knee joint, and she has retained proper motor function of the joint, allowing her to return to physical fitness levels comparable to before the initial symptoms of the disease.