Modified technique of advanced core decompression for treatment of femoral head osteonecrosis
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 کاملTreatment of Femoral Head Osteonecrosis (Stages 2B, 3 Ficat) Through Open Direct Core Decompression by Allograft Impaction and Light Bulb Technique
Background: Femoral head avascular necrosis is the cause of paralyzing status of youth population. Initial diagnosisis the main element in treating the disease. Bone grafting and core decompression are the approved cures at the earlysteps of the disease. Hip replacement in a total manner is the common cure in the final stages. The optimal treatment inthe intermediate stages is...
متن کاملOperative technique and results of core decompression and filling with bone grafts in the treatment of osteonecrosis of femoral head.
BACKGROUND The aim of this paper is to present the operative technique and results of core decompression and clearing of a necrotic zone in the femoral head followed by filling the defect with impacted autologous or synthetic bone grafts. This procedure allows for mechanical prevention of further collapse of the femoral head and loss of its spherical shape. It also creates conditions for the in...
متن کاملTreatment of Osteonecrosis of the Femoral Head by Core Decompression , Bone Grafting , and Electrical Stimulation
Core decompression is one of the more popular procedures for the treatment of early stages of avascular necrosis (AVN) of the femoral head. However, the controversy regarding its safety and effectiveness continues. In an attempt to clarify the situation, we are reporting on a large series of cases performed by a single surgeon with long-term follow-up. This is a prospective study in which resul...
متن کاملModifications to advanced Core decompression for treatment of Avascular necrosis of the femoral head
BACKGROUND "Advanced Core Decompression" (ACD) is a new technique for treatment of osteonecrosis of the femoral head (ONFH) that includes removal of the necrotic tissue using a percutaneous expandable reamer followed by refilling of the drill hole and the defect with an injectable, hard-setting, composite calcium sulphate (CaSO4)-calcium phosphate (CaPO4) bone graft substitute. As autologous bo...
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ژورنال
عنوان ژورنال: World Journal of Clinical Cases
سال: 2020
ISSN: 2307-8960
DOI: 10.12998/wjcc.v8.i13.2749