Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
 free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 free
 free
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Do modern techniques improve core decompression outcomes for hip osteonecrosis?Marker DR; Seyler TM; Ulrich SD; Srivastava S; Mont MAClin Orthop Relat Res 2008[May]; 466 (5): 1093-103Core decompression procedures have been used in osteonecrosis of the femoral head to attempt to delay the joint destruction that may necessitate hip arthroplasty. The efficacy of core decompressions has been variable with many variations of technique described. To determine whether the efficacy of this procedure has improved during the last 15 years using modern techniques, we compared recently reported radiographic and clinical success rates to results of surgeries performed before 1992. Additionally, we evaluated the outcomes of our cohort of 52 patients (79 hips) who were treated with multiple small-diameter drillings. There was a decrease in the proportion of patients undergoing additional surgeries and an increase in radiographic success when comparing pre-1992 results to patients treated in the last 15 years. However, there were fewer Stage III hips in the more recent reports, suggesting that patient selection was an important reason for this improvement. The results of the small-diameter drilling cohort were similar to other recent reports. Patients who had small lesions and were Ficat Stage I had the best results with 79% showing no radiographic progression. Our study confirms core decompression is a safe and effective procedure for treating early stage femoral head osteonecrosis.|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Cohort Studies[MESH]|Decompression, Surgical/*methods[MESH]|Disease Progression[MESH]|Evidence-Based Medicine[MESH]|Femur Head Necrosis/diagnostic imaging/*surgery[MESH]|Hip Joint/diagnostic imaging/*surgery[MESH]|Humans[MESH]|Middle Aged[MESH]|Orthopedic Procedures[MESH]|Radiography[MESH]|Reoperation[MESH]|Severity of Illness Index[MESH]|Time Factors[MESH]|Treatment Outcome[MESH] |
