Arthroscopic-Assisted Core Decompression for Osteonecrosis of the Femoral Head
نویسندگان
چکیده
منابع مشابه
Core decompression for early atraumatic osteonecrosis of the femoral head.
We performed 41 core decompressions in 32 patients for stage I or stage II osteonecrosis of the femoral head. The intra-osseous pressure at the intertrochanteric level was raised in 28 (68%) and there was histological confirmation of necrosis in 36 hips (88%). After a follow-up of 10 to 84 months (mean 31) nine of the 12 stage I hips (75%) showed significant clinical or radiological deteriorati...
متن کاملArthroscopic-assisted core decompression of the humeral head.
Humeral head osteonecrosis is a progressive disease that requires prompt diagnosis and treatment. Core decompression is a viable treatment option for early-stage cases. Most surgeons perform core decompression by arthroscopically visualizing the necrotic area of bone and using a cannulated drill to take a core. Several attempts are frequently needed to reach the proper location. In the hip mult...
متن کاملCore decompression with bone grafting for osteonecrosis of the femoral head.
Although core decompression is one of the more popular procedures for treating avascular necrosis, considerable controversy exists concerning its safety and effectiveness. The current authors review the results of a prospective study of 406 hips in 285 patients treated by one surgeon with core decompression and bone grafting. Patients were followed up for 2 to 14 years. The outcome was determin...
متن کاملInfluence of the volume of osteonecrosis on the outcome of core decompression of the femoral head.
OBJECTIVES To assess the outcome of core decompression in the treatment of osteonecrosis of the femoral head related to the volume of necrotic bone measured according to a previously reported method. METHODS Twenty hips corresponding to strictly Ficat stage II underwent magnetic resonance imaging and the volume of necrotic bone was expressed as a percentage of the volume of the entire head me...
متن کاملSubchondral Insufficiency Fracture of the Femoral Head Treated with Core Decompression and Bone Void Filler Support
Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial...
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ژورنال
عنوان ژورنال: Arthroscopy Techniques
سال: 2014
ISSN: 2212-6287
DOI: 10.1016/j.eats.2013.08.002