Failure After Core Decompression In Osteonecrosis Of The Femoral Head

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Results of Total Hip Arthroplasty after Core Decompression

Aug 01, 2016 Lee et al. Total Hip Arthroplasty after Core Decompression with Tantalum Rod for Osteonecrosis of the Femoral Head Clinics in Orthopedic Surgery Vol. 8, No. 1, 2016 DISCUSSION Core decompression and implanting a metallic rod is one of several head-preserving options for patients with ONFH.

Histopathological Findings of Failed Free Vascularized

whereas those performed after collapse of the femoral head lead to early failure [4 8]. Over the last decades, several procedures have been used to treat ONFH, primarily core decompression [7], transtro-chanteric rotation osteotomy [9], electrical stimulation [10], and free vascularized [11] and nonvascularized [12] fibular grafting.

Results of advanced core decompression in patients with

the study helps to provide valuable predictions regardin g the chances of long-term hip survival after treatment of osteonecrosis. Keywords: Osteonecrosis, Hip, Core decompression, Age, Sex Background Osteonecrosis of the femoral head (ONFH) is a patho-logical condition of the hip joint characterized by impaired

Core Decompression for Avascular Necrosis

Von Stechow and Drees (2007) stated that osteonecrosis of the femoral head eventually leads to its destruction if it remains untreated. Depending on the location and the extent of the osteonecrosis, several surgical options are available. For early small and medium-sized pre-collapse lesions, core decompression is the treatment of choice.

Subchondral Fractures in Osteonecrosis of the Femoral Head

ation of the femoral head, with preservation of joint function. Nonoperative treatment of early-stage osteonecrosis includes sympto-matic care and partial or non weight-bearing with crutches. Surgical treatment of stage I and II disease includes core decompression, bone grafting, and osteotomy, again with variable results [1, 16 18].

Porous tantalum rods for treating osteonecrosis of the

tantalum rods for the treatment of osteonecrosis ofthe femoral head (ONFH). We performed core decompression and inserted porous tantalum implants in 149 patients (168 consecutive hips) with ONFH. Hips had large (65), medium (64), or small (39) lesions; 63 lesions were lateral, 68 were central, and 35 were medial. Conversion to

Total hip arthroplasty following failure of tantalum rod

Keywords: Core decompression, Trabecular metal implant, Conversion total hip arthroplasty, Hardware removal Background Osteonecrosis of the femoral head (ONFH) is a progres-sive disease due to decreased vascular supply to the sub-chondral bone of the femoral head, resulting in osteocyte death and collapse of the articular surface. This disease

Treatment of Avascular Necrosis of the Femoral Head with Bone

hip replacement after 2 years from core decompression. Intra operative finding showed mild flattening of femoral head at weight bearing area without significant collapse [Figure 7,8]. Introduction Osteonecrosis, also known as avascular necro¬sis or ischemic necrosis of the femoral head, is a severe deficiency of blood supply

Stage-related results in treatment of hip osteonecrosis with

ral head and treated with core-decompression tech-nique and autologous stromal cells of the bone marrow. We enrolled in our study 29 patients with 31 hips in total affected by avascular necrosis of the femoral head. The clinical and radiological outcome has been assessed through self-administered questionnaires

Recent Advances in Arthroplasty - Applis Publishers

osteonecrosis of the right femoral head. Core decompression and porous tantalum rod insertion was performed on the right hip. This procedure provided significant relief of the symptoms. The postope-rative protocol for both surgeries included toe touch weight bearing for six weeks. Nevertheless, after surgery, the patient progressed to

Lantern-shaped screw loaded with autologous bone for treating

Keywords: Lantern-shaped screw, Autogenous bone graft, Core decompression, Osteonecrosis of the femoral head Background Hip-preserving surgery has been variable in treating osteonecrosis of the femoral head (ONFH), but there is a lack of consensus on the effectiveness of joint preserving procedures for ONFH. It is undesirable that hip replace-

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osteonecrosis of the femoral head. Exp Mol Med. 2013;45:e61. 23. Beckmann J, Schmidt T, Schaumburger J, et al. Infusion, core decompression, or infusion following core decompression in the treatment of bone edema syndrome and early avascular osteonecrosis of the femoral head. Rheumatol Int. 2013;33(6):1561-1565. 24.

Avascular Necrosis of the Femoral Head in Patients with

of core decompression in sickle cell anemia patients with avascular necrosis (AVN) of the femoral head that were followed up at the Orthopedic Surgery Department of King Abdul-Aziz University Hospital between 2001 and 2014.

Open Access Full Text Article Surgical management of

ie, femoral head-sparing and arthroplasty procedures. The femoral head-sparing technique is likely to have a good result if performed before femoral head collapse occurs. On the other hand, arthroplasty is preferred in cases where collapse has occurred. Femoral head-sparing techniques Core decompression, combined core decompression

Arthroscopy Assisted Lesion Clearance and Bone Graft

pulp core decompression and lesion clearance within the femoral head were accu-rately performed, and then, the OAM composite of autologous bone marrow was implanted and the femoral head was supported using the titanium rod. Follow-up including the pain score, the Harris hip score and Xray observation for disease pr- o-

Stem cell treatment for avascular necrosis of the femoral

the progression of AVN of the femoral head, and subsequently preventing young patients from undergoing total hip arthroplasty. The purpose of this study was to review the current use of stem cells for the treatment of AVN of the femoral head. Keywords: avascular necrosis, femoral head, osteonecrosis, stem cells, concentrated bone marrow

Hemi-Resurfacing versus Total Resurfacing for Osteonecrosis

Vol. 19 No. 2, August 2011 Hemi-resurfacing versus total resurfacing for osteonecrosis of the femoral head 179 5.5 (range, 4.2 7.1) years. The mean total JOA hip scores were 57 (range, 35 67) and 54 (range, 38 76)

High-energy extracorporeal shock wave therapy for

stage/substage on imaging examination. Eight hips showed femoral head collapse at the 10-year follow-up. Four hips in ARCO stage III and one hip in ARCO stage II were treated with total hip arthroplasty during the follow-up. Three were performed 1 year after ESWT, one at 2 years, and one at 5 years.

0753 Core Decompression for Avascular Necrosis (1)

many authors agree that core decompression provides excellent and immediate pain relief, core decompression did not alter the progression of AVN in Steinberg stage II hips. Steinberg (1995) evaluated the safety and effectiveness of core decompression in the treatment of AVN of the femoral head.

Corrective Osteotomy for Osteonecrosis of the Femoral Head

Osteonecrosis of the femoral head is a challenging clinical problem. Moreover, many patients are first seen after the femoral head has already collapsed, leaving the surgeon with few treatment alternatives other than total hip replacement. Osteonecrosis is reported to be *No benefits in any form have been received or will be received

99mTc-Methylene Diphosphonate Bone Scintigraphy in a Young

A 33-year-old female with idiopathic femoral head osteonecrosis received core decompression on the left femur. 99mTc MDP bone scintigraphy was performed after hip radiography. (A) Anterior view of bilateral hips joint. A linear radiotracer accumulation was demonstrated at the femoral head, neck and inter-trochanteric region of the left femur.


Osteonecrosis of the femoral head, from whatever cause, is knownto have a poorprognosis once it reaches the radiographic stages (Ficat II-IV)1. Several studies have shown inexorable progressioin to collapse and ad-vanced degenerative arthritis in most cases treated non-operatively2'3'4'5. Theonly satisfactory treatment for ad-vanced ONis total

A new animal model of femoral head osteonecrosis: one that

infero-medial aspect of the femoral head (Fig. 2). The drill guide and a core Of bone from within the lumen Of the wide were removed. Abbott Laboratories, North Chicago, IL) was positioned into the fo- ramen and advanced into the femoral head. A 15 s stream of pres- surized liquid nitrogen was delivered through this portal into the femoral head

Clinical efficiency of bone marrow mesenchymal stem cell

Osteonecrosis of the femoral head (ONFH) is still a challenging disease in orthopedics, frequently leading to femoral head collapse. Without effective early treatment, ONFH finally progresses to osteoarthritis which can only be treated by a total hip replacement arthroplasty (THA). Core decompression (CD) is a widely used pro-

Regenerative therapies increase survivorship of avascular

femoral head osteonecrosis (or avascular necrosis of femoral head, AVN) and to understand their benefit compared to core decompression (CD) alone in avoiding failure and the need for total hip replacement (THR). Methods The search was conducted on three medical electronic databases according to PRISMA guidelines. The studies

Injectable Synthetic Bone Graft Substitute Combined with Core

patients with precollapse or early collapsed osteonecrosis of the femoral head. METHODS From November 2008 to May 2009, 18 consecutive patients(19 hips) with osteonecrosis of the femoral head were enrolled retrospectively in this study. All these pa‑ tients were treated with core decompression combined with CaSO 4 and CaPO 4

Femoral neck bone autograft for the core decompression

head. Harvesting and use of autologous femoral neck bone graft, minimizing the donor site complications and favoring the bone regeneration after core decompression. Methods: 17 patients in early stage of the femoral head osteonecrosis were operated, 12 males and 5 females with mean age of 45.3 years old.

Femoral Head Avascular Necrosis Treatment & Management: Acute

study analyzed the clinical, functional and radiological outcome of core decompression and bone grafting in 20 patients with 28 cases of osteonecrosis of the femoral head (ONFH) up to stage IIB (Ficat & Arlet). The study concluded that core decompression and bone grafting provide satisfactory outcome when patients are carefully selected in

Cronicon OPEN ACCESS EC ORTHOPAEDICS Case Report Monocyte

osteonecrosis. After failure of core decompression. The patient was treated with intra-articular platelet-rich plasma with a follow-up of 1 year and 8 months. The final MRI shows a decrease in the size of the necrosis and the CT shows a consolidation of the subchondral fracture. Introduction

Arthroscopic-Assisted Core Decompression of the Humeral Head

osteonecrosis without collapse of the humeral head. MRI did not reveal a fracture of the articular surface, nor was there any appreciable deformity of the hu-meral head. Surgical Technique Each of the 3 patients underwent arthroscopic-assisted core decompression. The patients were placed in a modiÞed beach-chair position. After routine es-

Stem cell implantation for osteonecrosis of the femoral head

Keywords: core decompression; osteonecrosis; stem cell implantation INTRODUCTION Osteonecrosis of the femoral head (ONFH) is a debilitating disease in orthopedics, frequently progressing to femoral head collapse and osteoarthritis. Early intervention prior to collapse is key to a successful outcome in joint-preserving procedures.

Clinical Policy Bulletin: Core Decompression for Avascular

Core Decompression of the Hip: Core decompression of the hip is usually employed before collapse and fracture of the femoral head and/or neck to delay or avoid reconstructive surgery of the affected joint. It is generally carried out to preserve the function and the structure of the hip as well as to relieve pain associated with AVN.

Original ArticleEffectiveness of various hip preservation

Background: Non-traumatic osteonecrosis of the femoral head (ONFH) is a refractory osteonecrosis disease caused by an abnormal blood supply to bone tissue. However, therapeutic hip preservation strategies are diverse, and the therapeutic outcomes are not ideal.

Core Decompression in Atraumatic Osteonecrosis of the Hip

Key words: hip, avascular necrosis, core decompression, outcome, arthroplasty. Osteonecrosis (ON) of the femoral head is a deva- stating disease that manifests itself primarily in young adults in their 20s to 40s. The natural history of ON includes collapse of the femoral head associ-

Clinical Efficacy of Platelet-Rich Plasma on Allograft

transplantation for the core decompressive track after core decompression for femoral head osteonecrosis below Ficat-Arlet stage IIB and ARCO stage III diagnosed in our hospital between January 2008 and June 2015. All patients signed an informed consent form, and the institutional review board of our institution (Kosin

Evidence for the use of cell-based therapy for the treatment

38 Core decompression (CD) is a surgical technique for joint preservation in early ONFH, 39 typically performed by drilling to remove a cylindr ical core through the femoral neck deep into 40 the osteonecrotic lesion.[1,6] This is believed to reduce the pressure in the femoral head and

Platelet-Rich Plasma-Incorporated Autologous Granular Bone

Platelet-Rich Plasma-Incorporated Autologous Granular Bone Grafts Improve Outcomes of Post-Traumatic Osteonecrosis of the Femoral Head Hang Xian, MD, Deqing Luo, MD, Lei Wang, MD, Weike Cheng, MD,