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 .
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.
, 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
(CD) is a commonly used method for treating the early stages of ANFH.
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.