A Modified Decompression and Bone Graft Technique for the Treatment of Avascular Necrosis of the Femoral Head

Shehadeh AM, El Al SA, Salem A, Jafar A, Shahin IA, Omar M and Albtoush

Department of Surgery- Section of Orthopaedic Surgery, King Hussein Cancer Center, Jordan
Department of Radiation Oncology, University of Manchester, UK
Department of Diagnostic Radiology, King Hussein Cancer Center, Jordan

^*Correspondance to: Ahmad Salem 

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Abstract:

Objectives: Avascular necrosis (AVN) of the femoral head is a pathologic process resulting from interruption of blood supply to bone. The aim of this article is to describe the technical aspects and outcome of a modified technique of core decompression and bone graft injection for the treatment of AVNFH.
Methods: Twenty patients (26 femoral head AVN) Ficat stage I to early III were treated using core decompression kit followed by injection with bone graft material. Nine hips were stage III, 16 stages II and 1 stage I. Average operative time was 25 minutes.
Results: At a median follow-up of 48 months, 20 hips (77%) had almost complete pain relief while pain persisted in 6 hips (23%). All patients who demonstrated clinical response exhibited radiological stabilization of disease. The mean Haris hip score for all patients’ prior and following surgery was 41 and 85, respectively (p<0.0001). Conclusions: Femur head decompression using core decompression kit followed by bone substitute injection can result in long-term pain relief and prevention of progression of AVN in the majority of patients.

Keywords:

Femoral; Head; Decompression; Bone graft; Avascular necrosis

Cite the Article:

Shehadeh AM, El Al SA, Salem A, Jafar A, Shahin IA, Omar M, et al. A Modified Decompression and Bone Graft Technique for the Treatment of Avascular Necrosis of the Femoral Head. Clin Oncol. 2016; 1: 1036.