PMID: 8595753Mar 1, 1996Paper

Core decompression versus nonoperative management for osteonecrosis of the hip

Clinical Orthopaedics and Related Research
M A MontA C Fairbank

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 ...Continue Reading

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Citations

Oct 2, 1998·Clinical Orthopaedics and Related Research·M A MontD S Hungerford
Oct 6, 1998·The Journal of Bone and Joint Surgery. American Volume·S P ScullyJ R Urbaniak
Jan 26, 1999·Clinical Orthopaedics and Related Research·F V Aluisio, J R Urbaniak
Jul 3, 1999·The Journal of Bone and Joint Surgery. American Volume·B J MontellaJ R Urbaniak
Mar 27, 2004·Clinical Orthopaedics and Related Research·Michael J GreculaStefan W Kreuzer
Jul 9, 2004·Clinical Orthopaedics and Related Research·Seung Bak LeeKenji Ohzono
Apr 5, 2005·The Journal of Bone and Joint Surgery. American Volume·Donn MarciniakJohn W Shaffer
May 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Michael A MontDavid S Hungerford
Feb 8, 2007·Rheumatology International·A CorradoF P Cantatore
Feb 2, 2008·Computer Aided Surgery : Official Journal of the International Society for Computer Aided Surgery·Johannes BeckmannMarkus Tingart
Mar 25, 2008·Clinical Orthopaedics and Related Research·Vinod DasaWilliam M Mihalko
Feb 4, 2010·Computer Aided Surgery : Official Journal of the International Society for Computer Aided Surgery·Matthias MüllerGunter O Hofmann
Oct 12, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Florian GrasGunther O Hofmann
Jan 13, 2011·Veterinary Surgery : VS·Florien Jenner, Carl Kirker-Head
Apr 11, 2012·Journal of Tissue Engineering and Regenerative Medicine·Stefan LandgraeberWojciech Kowalczyk
Jul 19, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·N PapapietroV Denaro
Nov 16, 2013·Experimental & Molecular Medicine·Young Wook LimSoon Yong Kwon
Jul 19, 2014·Modern Rheumatology·Kazuma IkeuchiNaoki Ishiguro
Jul 17, 2015·Journal of Tissue Engineering and Regenerative Medicine·Tim ClassenStefan Landgraeber
Aug 4, 2020·World Journal of Clinical Cases·Lin LinHong Chen
Feb 5, 2005·Alimentary Pharmacology & Therapeutics·G KlingensteinD H Present
Jun 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Valérie GangjiMicheline Lambermont
Mar 27, 2004·Clinical Orthopaedics and Related Research·Jay R Lieberman
Dec 4, 2004·Clinical Orthopaedics and Related Research·Jay R LiebermanMarshall R Urist
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Feb 6, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Caryn G MorseJoseph A Kovacs
Apr 9, 2008·Clinical Orthopaedics and Related Research·David R MarkerMichael A Mont
Nov 26, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Hui ShengLing Qin
Dec 7, 2005·Clinical Orthopaedics and Related Research·Craig IsraeliteMarvin E Steinberg
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Jun 27, 2009·Archives of Orthopaedic and Trauma Surgery·Shan-Ling HsuKuender D Yang
Jul 26, 2011·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Asim RajpuraTimothy N Board

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