Ortho-Preferred

AVN of the Hip: Core Decompression

- Discussion:
    - prognosis:
            - perhaps the cause of the AVN in the most prognostic feature of whether or not core decompression will work;
            - an alcoholic who has 100% abstained from drinking might fare better than a transplant patient who requires continuous steroids;
    - bone grafting:
            - some type of bone grafting should probably be considered for core decompression procedures;
            - references:
                    - Long term followup of thorough debridement and cancellous bone grafting of the femoral head for avascular necrosis.
                    - Treatment of Osteonecrosis of the Femoral Head with Core Decompression and Human Bone Morphogenetic Protein.
                    - Early results of core decompression and autologous bone marrow mononuclear cells instillation in femoral head osteonecrosis: a randomized control study.
                    - Core decompression combined with implantation of a demineralised bone matrix for non-traumatic osteonecrosis of the femoral head.


Core Decompression of the Femoral Head for Osteonecrosis Using Percutaneous Multiple Small-Diameter Drilling.

Physical therapy alone compared with core decompression and physical therapy for femoral head osteonecrosis in sickle cell disease. Results of a multicenter study at a mean of three years after treatment.

Nontraumatic Osteonecrosis of the Femoral Head: Endoscopic Visualization of Its Avascular Burden



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, November 9, 2015 7:37 am