ArticleJournal of orthopaedic surgery and research2020
Results of advanced core decompression in patients with osteonecrosis of the femoral head depending on age and sex-a prospective cohort study.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- The Effect of Systemic Steroid Use on the Success of Core Decompression in Non-Traumatic Early-Stage Femoral Head Osteonecrosis.Sisli Etfal Hastanesi tip bulteni · 2026Article
- Association of the systemic immune inflammation index with failure after core decompression for osteonecrosis of the femoral head: a prospective time-to-event analysis.Annals of medicine · 2025Article
- Optimal parameters and Biomechanical analysis of the lightbulb technique for osteonecrosis of the femoral head: a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Effects of PRP injection combined with intersecting femoral head decompression versus combined with multiple core decompression in the treatment of avascular necrosis of femoral head-a single-center retrospective cohort study.BMC musculoskeletal disorders · 2025Article
- Outcomes of single-incision-augmented core decompression using trochanteric autograft in osteonecrosis of femoral head-a mean 5-year follow-up study.Journal of hip preservation surgery · 2024Article
- Subtrochanteric fracture after core decompression for osteonecrosis of the femoral head: a case report and literature review.BMC musculoskeletal disorders · 2024Review
- Management of Scleritis in Older Adults.Drugs & aging · 2024Article
- Femoral Head Core Decompressions: Characterization of Subsequent Conversion to Total Hip Arthroplasty and Related Complications.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Incidence and risk factors for unplanned readmission after total hip arthroplasty for osteonecrosis of the femoral head.Frontiers in surgery · 2024Article
- The indications for core decompression surgery in patients with ARCO stage I-II osteonecrosis of the femoral head: a new, comprehensive prediction system.BMC musculoskeletal disorders · 2023Article
- Core decompression vs. allogenic non-vascularized bone grafting in patients with osteonecrosis of the femoral head.Frontiers in surgery · 2023Article
- Osteonecrosis of the Femoral Head. Optimizing the Early-Stage Joint-Preserving Surgical Treatment?Maedica · 2022Article
- [Osteonecrosis].Der Orthopade · 2021Article
- Concentric Circle Technique for Assessment of Femoral Head Deficiency in Osteonecrosis of Femoral Head.Cureus · 2021Article
- Augmentation of core decompression with synthetic bone graft does not improve mechanical properties of the proximal femur.Journal of the mechanical behavior of biomedical materials · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCore decompression is a common surgical technique to treat osteonecrosis of the femoral head. The aim of this study is to evaluate the effect of the parameters "age" and "sex" on the outcome of this type of treatment.
methodsA prospective cohort study was performed. Eighty-six osteonecrotic hips with a mean follow-up of 32.5 months (± 24.8) after advanced core decompression were analysed regarding age- and sex-dependent treatment failure. Additionally, the modified Harris Hip Score and Numeric Rating Scale were compared regarding the parameters age and sex.
resultsThe mean hip survival of the male participants was 51.3 months (39.4% treatment failure), whereas females presented a longer, thus not significant, mean survival of 61.4 months (30% therapy failure; p = 0.48). The further evaluation revealed significantly better survival in the patients aged < 40 years (mean survival 66.09 months, 16% treatment failure) in comparison to those aged ≥ 40 years (mean survival 50.14 months, 46% therapy failure; p = 0.03). The modified Harris Hip Score and Numeric Rating Scale results of patients whose treatment did not fail during the study period were similar, irrespective of the patient's sex or age.
conclusionsThe study shows that the number of therapy failures is significantly higher in older patients, with 40 years of age marking the borderline. Patients' sex does not seem to affect the outcome of treatment, and postoperative clinical scores appear to be identical with individuals not affected by therapy failure. Since age and sex are unalterable parameters, the study helps to provide valuable predictions regarding the chances of long-term hip survival after treatment of osteonecrosis.
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