scholarly journals Osteonecrosis of femoral head: Treatment by core decompression and vascular pedicle grafting

2009 ◽  
Vol 43 (1) ◽  
pp. 27 ◽  
Author(s):  
Sudhir Babhulkar
Keyword(s):  
Femoral Head ◽  
Core Decompression ◽  
Vascular Pedicle ◽  
Osteonecrosis Of Femoral Head

scholarly journals Effect of Platelet-rich Plasma Combined With Core Decompression Bone Grafting for Osteonecrosis of Femoral Head: A Meta-Analysis

2021 ◽  
Author(s):  
QiZhong Lai ◽  
Kaishen Cai ◽  
Tianye Lin ◽  
Peng Yang ◽  
Binglang Xiong ◽  
...  
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Bone Grafting ◽  
Platelet Rich Plasma ◽  
Meta Analysis ◽  
Core Decompression ◽  
Osteonecrosis Of Femoral Head ◽  
Group A ◽  
Group B ◽  
Better Than

Abstract Objective: Core decompression bone grafting usually is used hip-preserving approach for osteonecrosis of femoral head (ONFH). Platelet-rich plasma (PRP) is an adjuvant therapy, combined with core decompression bone grafting for ONFH. However, it remains controversial. Therefore, its efficacy was systematically evaluated and meta-analysis in this study.Methods: Literature on core decompression bone grafting for ONFH was retrieved in CNKI, Wan Fang, PubMed, Embase, Cochrane Library and Web of Science from inception to March 2021. Review Manager 5.3 software and Stata 12.0 software were used for data synthesis.Results: A total of 10 RCTs were included. The results showed at final follow-up that, Harris hip score was significantly difference in the treatment group, adjuvant therapy with PRP (group A) better than the control group (group B), MD=7.53 [95%CI (5.29,9.77)]，P < 0.00001. There was MD=-0.71[95%CI (-0.96, -0.46)], P < 0.00001, of visual analog scale (VAS) of hip pain between the two groups. The excellent and good rate of function of hip was 1.42-fold higher in group A than that in group B, RR=1.42, 95%CI (1.25,1.62), P<0.00001. The progression and total hip arthroplasty were showed improvements, RR=0.37,95%CI (0.21,0.65), P=0.0006 and RR=0.39,95%CI (0.18,0.85), P=0.02, respectively. Begg's and Egger's tests did not indicate publication bias.Conclusion: It was shown that the use of PRP combined with core decompression bone grafting improved the symptoms better than core decompression bone grafting only, and might delay progression and total hip arthroplasty. However, as the study’s limitations, it needed to be fully verified by more large-sample multicenter prospective clinical studies.

scholarly journals Pain relief with core decompression and autologous bone graft in osteonecrosis of femoral head in grade 2

2019 ◽  
Vol 5 (4) ◽  
pp. 369-372
Author(s):  
Dr. Dhruv Sharma ◽  
Dr. Maulik Jhaveri ◽  
Dr. Urang Patel ◽  
Dr. Amrit Jha ◽  
Dr. Prasanna Shah ◽  
...  
Keyword(s):  
Pain Relief ◽  
Femoral Head ◽  
Bone Graft ◽  
Core Decompression ◽  
Autologous Bone Graft ◽  
Osteonecrosis Of Femoral Head ◽  
Autologous Bone

Core Decompression on Osteonecrosis of Femoral Head

1996 ◽  
Vol 31 (3) ◽  
pp. 506
Author(s):  
Sung Ho Hahn ◽  
Bo Kyu Yang ◽  
Chi Hong Kim ◽  
Tae Won Ahn ◽  
Dou Hyung Park
Keyword(s):  
Femoral Head ◽  
Core Decompression ◽  
Osteonecrosis Of Femoral Head

scholarly journals Core decompression versus nonvascularized bone grafting in patients with osteonecrosis of femoral head

2021 ◽  
Author(s):  
Jin Mei ◽  
Lili Pang ◽  
Zhongchao Jiang
Keyword(s):  
Risk Factors ◽  
Femoral Head ◽  
Bone Grafting ◽  
Early Stage ◽  
Survival Rates ◽  
Core Decompression ◽  
Osteonecrosis Of Femoral Head ◽  
Independent Risk Factors ◽  
The Mean

Abstract Background Core decompression and nonvascularized bone grafting are used in the early stage of osteonecrosis of femoral head for a period. Since the comparison of the core decompression and nonvascularized bone grafting are less reported, the purpose of our study was to investigate the clinical outcomes of two procedures in patients with earlier stages of the osteonecrosis of femoral head. Methods Between January 2018 and January 2019, 46 patients (48 hips) are divided into core decompression group and non-vascularized allogeneic fibula grafting group according to their procedures. The mean follow-up were 28.31±3.7 months (24–36 months) and 29.23±4.7months(24–36 months) respectively. the primary outcomes were VAS and HHS. Survivorship was analyzed with the collapse of femoral head or conversion to total hip arthroplasty (THA) as the endpoint. Results At the final follow-up, two hips underwent THA in core decompression group and three hips in non-vascularized allogeneic fibula grafting group. The radiographic survival rates are 76.9% and 77.3% in the two groups. Statistically significant improvements were seen in both groups on the VAS and HHS. The radiographic survival rate of hips was significantly inferior in lateral type lesion (P = 0.03; CI,0.765–2.114) and ARCO III stage (P = 0.28; CI, 1.254–58.752) in core decompression group. ARCO III stage (P = 0.02; CI, 1.351–49.344) and BMI>25 (P = 0.35; CI, 0.999–2.131) were independent risk factors for the collapse of femoral head in non-vascularized allogeneic fibula grafting group. Conclusion In this study, two procedures all can reduce the patient’s pain and improve functional activity. Arco stage III is a common risk factor for the collapse of femoral head in both groups. lateral lesion and BMI>25 are risk factors for the collapse of femoral head in core decompression group and non-vascularized allogeneic fibula grafting group, respectively. Both groups had good hip survival rates during the follow-up period.

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