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Current Reviews in Musculoskeletal Medicine
Erschienen 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

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

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 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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Metadaten
Titel
A current review of core decompression in the treatment of osteonecrosis of the femoral head
verfasst von
Todd P. Pierce
Julio J. Jauregui
Randa K. Elmallah
Carlos J. Lavernia
Michael A. Mont
James Nace
Publikationsdatum
01.09.2015
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 3/2015
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-015-9280-0

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