Title
Endoscopically assisted core decompression in avascular necrosis of the femoral headEndoscopically assisted core decompression in avascular necrosis of the femoral head
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Research group
Antwerp Surgical Training, Anatomy and Research Centre (ASTARC)
Publication type
article
Publication
Bruxelles,
Subject
Human medicine
Source (journal)
Acta orthopaedica Belgica. - Bruxelles, 1946 - 2002
Volume/pages
75(2009):5, p. 631-636
ISSN
0001-6462
ISI
000271598900010
Carrier
E
Target language
English (eng)
Affiliation
University of Antwerp
Abstract
The authors have used bone endoscopy (medulloscopy) to improve the accuracy of the conventional technique for core decompression and grafting in 36 hips with avascular necrosis of the femoral head. Endocopy was found to facilitate debridement of the necrotic bone and to decrease the risk of perforation of the cartilage during debridement. The endoscopy-assisted technique failed, however, to improve the final outcome of core decompression and grafting in more advanced stages of osteonecrosis. Based on this experience, the authors do not recommend core decompression, with or without endoscopic assistance, in advanced stages of avascular necrosis, but they suggest using endoscopic assistance during decompression in small-size lesions.
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