ArticleOperative Orthopadie und Traumatologie2020
Nontraumatic avascular necrosis of the femoral head : Arthroscopic and navigation-supported core decompression.
Article in Operative Orthopadie und Traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 22 citations in OpenAlex.
- Osteonecrosis of the Femoral Head: Evolution of Contemporary Management Strategies.Current reviews in musculoskeletal medicine · 2026Review
- [Atraumatic necrosis of the femoral head].Orthopadie (Heidelberg, Germany) · 2025Review
- Arthroscopic-assisted core decompression for avascular necrosis of the femoral head demonstrates favorable clinical outcomes: a systematic review.Journal of hip preservation surgery · 2025Article
- Hyperbaric Oxygen Therapy for the Treatment of Bone-Related Diseases.International journal of molecular sciences · 2025Review
- Role and research progress of hip arthroscopy in the treatment of pre-collapse osteonecrosis of the femoral head.Frontiers in surgery · 2025Review
- Mid-term Clinical Outcomes of "Light Bulb" Core Decompression with Arthroscopic Assistance in Peri-collapse Osteonecrosis of the Femoral Head: A Retrospective Comparative Study.Orthopaedic surgery · 2024Article
- Combination of neuromuscular electrical stimulation and ibuprofen to reduce pain in femoral head necrosis.American journal of translational research · 2024Article
- Towards Visualizing Early-stage Osteonecrosis using Intraoperative Imaging Modalities.Computer methods in biomechanics and biomedical engineering. Imaging & visualization · 2023Article
- Osteonecrosis of the Femoral Head. Optimizing the Early-Stage Joint-Preserving Surgical Treatment?Maedica · 2022Article
- Arthroscopic Core Decompression for Avascular Necrosis of the Femoral Head Using Multiple Small-Diameter Tunnels.Arthroscopy techniques · 2022Article
- Updates on Management of Avascular Necrosis Using Hip Arthroscopy for Core Decompression.Frontiers in surgery · 2022Review
- Computer assistance in hip preservation surgery-current status and introduction of our system.International orthopaedics · 2021Review
- Effect of hip replacement surgery on clinical efficacy, VAS score and Harris hip score in patients with femoral head necrosis.American journal of translational research · 2021Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim is to address core decompression and pathologies of the femoral head, treating them during the same procedure. Furthermore, radiation exposure will be reduced. INDICATIONS: Femoral head necrosis ARCO (Association Research Circulation Osseous) stages I-III. CONTRAINDICATIONS: Progressive femoral head necrosis as ARCO stages IIIC-IV. SURGICAL TECHNIQUE: Arthroscopically navigated core decompression of the femoral head using an established optoelectronic system with fluoro-free software module. First, hip joint arthroscopy was performed and further pathologies were treated. Second, core decompression was navigated by a navigation pointer and drill sleeve to reach the correct target point. After visualization, the procedure is repeated 3-5 times. POSTOPERATIVE MANAGEMENT: Limited weight bearing of the operated leg (20 kg) for 10-14 days. Active or passive continuous motion machine for 4 weeks. Adjuvant postoperative indomethacin therapy for 10 days to reduce pain and bone marrow edema.
resultsFrom May 2018 to January 2019, 7 patients (male = 4; 40 ± 9 years) underwent arthroscopically navigated core decompression with 2 (29%) and 5 (71%) patients being classified as ARCO II and III, respectively. Preoperatively, all patients reported load-dependent pain. In all cases, we could identify synovitis, which results in soft tissue release and synovectomy. Furthermore, 4 of 7 patients had an additional labrum lesion, which is addressed by refixation or shrinking. DISCUSSION: Compared to the conventional technique, this fluoro-free navigation procedure allows more precise drilling. Moreover, additional pathologies, as found in all our cases, could be simultaneously addressed. The intraoperative radiation exposure for the patient and surgical team could also be reduced. Although arthroscopically assisted core decompression requires more preparation time, there are advantages over conventional surgery.
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