Core decompression versus other joint preserving treatments for osteonecrosis of the femoral head: a meta-analysis
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 کاملCore decompression and conservative treatment for avascular necrosis of the femoral head: a meta-analysis.
Core decompression for avascular necrosis (AVN) of the femoral head continues to be a controversial procedure. Meta-analysis techniques were employed to identify 22 studies with a single surgical core decompression technique. A similar procedure identified eight studies that treated patients conservatively. The success rates for core decompression were 84%, 63%, and 29% for Steinberg stages I, ...
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 کاملPreventing collapse in early osteonecrosis of the femoral head. A randomised clinical trial of core decompression.
We performed a randomised trial on 37 hips (33 patients) with early-stage osteonecrosis (ON). After the initial clinical evaluation, including plain radiography and MRI, 18 hips were randomly assigned to a core-decompression group and 19 to a conservatively-treated group. All the patients were regularly followed up by clinical evaluation, plain radiography and MRI at intervals of three months. ...
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...
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ژورنال
عنوان ژورنال: British Medical Bulletin
سال: 2016
ISSN: 0007-1420,1471-8391
DOI: 10.1093/bmb/ldw010