core decompression

core decompression

Orthopedic surgery A procedure for nontraumatic osteonecrosis, in which the BM is decompressed by removing a core of medullary bone, which is then reinserted to support the weakened cortical bone. See Osteoporosis.
References in periodicals archive ?
Surgical treatment procedures such as bone grafting, osteotomy, total joint replacement, core decompression, vascularized bone graft placement are performed to treat avascular necrosis.
Acurrent review of core decompression in the treatment of osteonecrosis of the femoral head.
Among the different femoral head preservation procedures (core decompression, muscle-pedicle grafting, and derotational osteotomy), core decompression with bone grafting is considered the gold standard surgical option [11].
Thus, in addition to traditional procedures (e.g., core decompression, osteotomies, and bone grafting), BMSC implantation has been proposed as a potential therapy for GC-induced ONFH, especially in the early stages, with the aim of delaying or even obviating total hip arthroplasty (THA) [3-7].
ECSW was compared to core decompression by Wang and colleagues (18) in a randomized control trial.
Reports on core decompression, osteotomies, electrical stimulation, and cancellous or cortical bone grafting have all failed to give consistent and significant disease modification or preventing progression11,13,17.
Core decompression [12], autologous bone grafts [13,14], and bone marrow aspirate (BMA) transplantation [15-18] have been performed in an attempt to regenerate necrotized bone.
Reported joint-sparing approaches for osteonecrosis of the humeral head include conservative follow-up [19-21], bone grafting [22, 23], and core decompression [14, 18].
The treatment modalities have evolved over the period of few decades ranging from core decompression to the present Total hip replacement.
The most common treatment options for osteonecrosis are rotational osteotomy, core decompression, and free vascularized fibular grafting.
Current treatment options for ONFH include conservative treatment, core decompression, vascularized bone grafting, and total hip arthroplasty.