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. 2015 Sep;8(3):228-32.
doi: 10.1007/s12178-015-9280-0.

A current review of core decompression in the treatment of osteonecrosis of the femoral head

Todd P Pierce  1 , Julio J Jauregui, Randa K Elmallah, Carlos J Lavernia, Michael A Mont, James Nace
Affiliations

A current review of core decompression in the treatment of osteonecrosis of the femoral head

Todd P Pierce et al. Curr Rev Musculoskelet Med. 2015 Sep.

Abstract

The review describes the following: (1) how traditional core decompression is performed, (2) adjunctive treatments, (3) multiple percutaneous drilling technique, and (4) the overall outcomes of these procedures. Core decompression has optimal outcomes when used in the earliest, precollapse disease stages. More recent studies have reported excellent outcomes with percutaneous drilling. Furthermore, adjunct treatment methods combining core decompression with growth factors, bone morphogenic proteins, stem cells, and bone grafting have demonstrated positive results; however, larger randomized trial is needed to evaluate their overall efficacy.

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References

    1. Yoon TR, Song EK, Rowe SM, Park CH. Failure after core decompression in osteonecrosis of the femoral head. Int Orthop. 2001;24(6):316. doi: 10.1007/s002640000186. - DOI - PMC - PubMed
    1. Iorio R, Healy WL, Abramowitz AJ, Pfeifer BA. Clinical outcome and survivorship analysis of core decompression for early osteonecrosis of the femoral head. J Arthroplasty. 1998;13(1):34. doi: 10.1016/S0883-5403(98)90073-0. - DOI - PubMed
    1. Mazieres B, Marin F, Chiron P, Moulinier L, Amigues JM, Laroche M, et al. Influence of the volume of osteonecrosis on the outcome of core decompression of the femoral head. Ann Rheum Dis. 1997;56(12):747. doi: 10.1136/ard.56.12.747. - DOI - PMC - PubMed
    1. Mont MA, Jones LC, Pacheco I, Hungerford DS. Radiographic predictors of outcome of core decompression for hips with osteonecrosis stage III. Clin Orthop Relat Res. 1998;(354):159. - PubMed
    1. Koo KHMM, Jones LC. Osteonecrosis. New York: Springer; 2014.

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