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In a series of 61 knees (38 patients) we analysed secondary osteonecrosis of the knee treated by a new technique using multiple small percutaneous 3 mm drillings. <\/jats:p><jats:p> Total knee replacement was avoided in 59 knees (97%) at a mean follow-up of 3 years (2 to 4). Of the 61 knees, 56 (92%) had a successful clinical outcome, defined as a Knee Society score greater than 80 points. The procedure was successful in all 24 knees with small lesions compared with 32 of 37 knees (86%) with large lesions. All the procedures were performed as day cases and there were no complications. This technique appears to have a low morbidity, relieves symptoms and delays more invasive surgery. <\/jats:p>","DOI":"10.1302\/0301-620x.88b6.17459","type":"journal-article","created":{"date-parts":[[2006,5,23]],"date-time":"2006-05-23T19:08:33Z","timestamp":1148411313000},"page":"740-746","source":"Crossref","is-referenced-by-count":47,"title":["Percutaneous drilling for the treatment of secondary osteonecrosis of the knee"],"prefix":"10.1302","volume":"88-B","author":[{"given":"G.","family":"Marulanda","sequence":"first","affiliation":[{"name":"Centre for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, Maryland 21215, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. 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