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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 3/2015

01-09-2015 | Modern Surgical Treatment of Hip Avascular Necrosis (MA Mont, Section Editor)

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

Authors: Todd P. Pierce, Julio J. Jauregui, Randa K. Elmallah, Carlos J. Lavernia, Michael A. Mont, James Nace

Published in: Current Reviews in Musculoskeletal Medicine | Issue 3/2015

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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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Metadata
Title
A current review of core decompression in the treatment of osteonecrosis of the femoral head
Authors
Todd P. Pierce
Julio J. Jauregui
Randa K. Elmallah
Carlos J. Lavernia
Michael A. Mont
James Nace
Publication date
01-09-2015
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 3/2015
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-015-9280-0

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