Since Christmas 2022, discomfort developed in the foot of a young Ukrainian ballet dancer (10 yrs ♀). After use of NSAIDs and also after relief in a cast for 4 weeks, the pain remained and became rather stronger over time. MRI on 2/3/2023 showed necrosis of the os naviculare (Köhler’s disease I) as a typical disease in adolescence. Further discharge was planned for 6 weeks. With even rather negative development, a surgical procedure was discussed.
My companion (and host of the family due to the war) asked me to make an attempt of infiltration with PRGF intraosseously pro bono. Under ultrasound guidance with PwD the application via an access vessel took place on 09.05.2023, so that the intended use with an application of pediatric N.I.O. (new intraosseous device) was not necessary.
Exactly 4 months later, on 07.09.2023, no bone damage is visible in the MRI, with symptom-free full weight-bearing as a dancer.
It is a gift! For the young dancer, her family and for us as providers of this procedure.
– Dr. Ralf Peter Schnorr –