Evidence map›Paper›PMID 39708161›Full record

ReviewArchives of orthopaedic and trauma surgery2024

Techniques of core decompression in the treatment of idiopathic avascular necrosis of the femoral head.

Michael D Dubé, Ahmed K Emara, Matthew E Deren, Ignacio Pasqualini, Pedro J Rullan, Joshua Tidd, Nicolas S Piuzzi

Abstract readReview
PubMed Publisher
In one paragraph

Review in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Michael D DubéDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Ahmed K EmaraDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Matthew E DerenDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Ignacio PasqualiniDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Pedro J RullanDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Joshua TiddDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Nicolas S PiuzziDepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA. piuzzin@ccf.org.ORCID http://orcid.org/0000-0003-3007-7538

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Core decompression was developed as a joint-preserving procedure for patients with early-stage osteonecrosis of the femoral head. Previous studies indicated a high success rate that outperforms nonoperative management of pre-collapse hips. The traditional single-tunnel core decompression technique uses a cannulated drill bit inserted into the lateral cortex of the proximal femur. Multiple small drilling was introduced to decrease the risk of fracture through a less invasive technique. Adjunctive therapeutics such as tantalum rods, bone-grafting, orthobiologic (e,g, bone marrow aspirate concentrate, mesenchymal stem cells, platelet-rich plasma, and human umbilical cord mesenchymal stem cell extracts) as well as electric stimulation have all been studied. No consensus regarding the ideal treatment has been reached. This review analyzes the advantages and disadvantages of current core decompression techniques to provide orthopaedic surgeons with direction in managing patients with avascular necrosis of the femoral head.

Indexed as

Decompression, SurgicalFemur Head NecrosisHumansAvascular necrosisCore decompressionFemoral headHip arthroplastyMultiple small drillingOsteonecrosis

Identifiers

PMID39708161

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.