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Core Decompression for Osteonecrosis of the Hip
Abstract
The ultimate goal of treatment of patients with osteonecrosis of the hip is preservation of the femoral head. However, the development of a successful strategy to treat this disease has been difficult because neither the etiology nor the natural history of osteonecrosis of the hip has been defined clearly. Core decompression of the hip is one of the most commonly done surgical procedures to treat the early stages of osteonecrosis of the femoral head. However, there is no general consensus among investigators regarding either the specific indications for this procedure, or the specific technique of core decompression that would optimize results. The data available suggest that core decompression is more effective than nonoperative treatment particularly for patients with limited involvement of the femoral head and with an area of sclerosis surrounding the necrotic bone. The combination of core decompression with the use of osteoinductive or angiogenic agents to enhance bone formation and repair may enhance the results of this surgical procedure in the future.
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Core decompression has become a preferred procedure to treat early-stage AVN due to its simplicity, low complication rate, and promising efficacy.
“Core decompression has become a preferred procedure to treat early-stage AVN due to its simplicity, low complication rate, and promising efficacy (Lieberman 2004; Veillette et al. 2006; Talmaç 2018; Nori 2015).”
From Towards 2D/3D Registration of the Preoperative MRI to Intraoperative Fluoroscopic Images for Visualisation of Bone Defects (2023) · cites this paper as Lieberman 2004
Core decompression creates a drilling hole from the distal end of the trochanter to stimulate blood supply to the necrotic area, diminish femoral head pressure, and delay progression of osteonecrosis.
“The core decompression method is a surgical procedure that creates a drilling hole made from the distal end of the trochanter to stimulate the blood supply to the necrotic area, diminish the femoral head pressure, and delay the progression of osteonecrosis (Lieberman 2004; Yu et al. 2018).”
From Towards 2D/3D Registration of the Preoperative MRI to Intraoperative Fluoroscopic Images for Visualisation of Bone Defects (2023) · cites this paper as Lieberman 2004
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No references could be resolved yet.
Research works printed but not linked: 12
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Cited by
Sorted by citations
Patient-specific core decompression surgery for early-stage ischemic necrosis of the femoral head
Wang, W., Hu, W., Yang, P., Dang, X. Q., Li, X. H., & Wang, K. Z. (2017) · PLOS ONE · doi:10.1371/journal.pone.0175366 · Cited by 14
Ku, P.-C., Martin-Gomez, A., Gao, C., Grupp, R., Mears, S. C., & Armand, M. (2023) · Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization · doi:10.1080/21681163.2022.2152375 · Cited by 8
“The core decompression method is a surgical procedure that creates a drilling hole made from the distal end of the trochanter to stimulate the blood supply to the necrotic area, diminish the femoral head pressure, and delay the progression of osteonecrosis (Lieberman 2004; Yu et al. 2018).”
BackgroundMethod
Metadata
- Authors
- Lieberman, J. R.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Lieberman, Jay R
- ORCID
- Lieberman, Jay R
- Venue
- Clinical Orthopaedics and Related Research
- Published
- 2004-01
- Volume
- 418
- Issue
- 418
- Pages
- 29-33
- ISSN
- 0009-921X (ISSN-L)
- OpenAlex
- W1964803799
- Cited by
- 111
- References
- 0
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 7 · 2020: 4 · 2019: 1 · 2018: 2 · 2017: 9 · 2016: 4 · 2015: 5 · 2014: 7 · 2013: 6 · 2012: 7
- FWCI
- 6.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Orthopaedics and Related Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone and Joint Diseases
- Health Sciences › Medicine › Surgery › Hip disorders and treatments
- Health Sciences › Medicine › Oncology › Bone health and treatments
- Keywords
- core decompression, hip osteonecrosis, femoral head preservation, osteonecrosis of the femoral head, surgical indications, bone formation
- MeSH terms
- Femur Head Necrosis, Hip Joint, Humans, Decompression, Surgical
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