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Cited by 527

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Core Decompression Versus Nonoperative Management for Osteonecrosis of the Hip

Mont, Michael A., Carbone, John J., Fairbank, Adrian C.·1996·Clinical Orthopaedics and Related Research
DOI 10.1097/00003086-199603000-00020
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Abstract

A complete review of the literature disclosed that there were 42 reports of 2025 hips treated by either core decompression (1206 hips) or nonoperative management (819 hips), excluding electrical stimulation, for osteonecrosis of the femoral head. The peer-reviewed published reports included general surveys, prospective studies, and multicenter studies, but excluded case reports. Satisfactory clinical results were reported in 63.5% of hips in 24 studies of core decompression and in 22.7% of hips in 21 studies of nonoperative management. When looking at only precollapse hips, there were 71% versus 34.5% good results, respectively. Recalculation excluding reports by the 4 centers that do the most core decompressions (and report the best results) showed a clinical success rate for core decompression of 53% versus 22.7% for the nonoperatively treated group. Investigators of multiple studies have reported that nonoperative management leads to extremely poor results. Core decompression has been reported to have a notable effect on the natural history and clinical progression in early stages of osteonecrosis of the femoral head. In view of the limitations of this data, further clarification of this effect only can be obtained by large prospective randomized studies.

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Metadata

Authors
Mont, M. A., Carbone, J. J., & Fairbank, A. C.
Venue
Clinical Orthopaedics and Related Research
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1996-03
Volume
324
Issue
324
Pages
169-178
ISSN
0009-921X (ISSN-L)
DOI
10.1097/00003086-199603000-00020
OpenAlex
W1965432241
Cited by
527
References
16
FWCI
9.34
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Core Decompression Versus Nonoperative Management for Osteonecrosis of the Hip. https://app.cochat.ai/papers/10.1097/00003086-199603000-00020
The paper
Mont, M. A., Carbone, J. J., & Fairbank, A. C. (1996). Core Decompression Versus Nonoperative Management for Osteonecrosis of the Hip. Clinical Orthopaedics and Related Research. https://doi.org/10.1097/00003086-199603000-00020

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.