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Surgical Technique: Arthroscopic Core Decompression

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Osteonecrosis of the femoral head remains a challenging problem in the young patient population. The pathophysiology of this condition is poorly understood, and often, the underlying etiology is unknown. Several risk factors have been identified, including steroid use, alcohol use, trauma, and a history of hypercoagulable disorders. The management of osteonecrosis is dependent on the stage of the disease, which is typically divided into pre-collapse and post-collapse stages. The management of pre-collapse osteonecrosis of the femoral head is controversial, and both medical and surgical options have been described. The most commonly used surgical options include core decompression as well as bone grafting (vascularized or non-vascularized). Core decompression is a technique that theoretically decreases intraosseous pressure of the femoral head, resulting in a local vascularized healing response, and recently, arthroscopic techniques have been reported.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL, 60612, USA

    Rachel M. Frank, Anil Gupta, Michael D. Hellman & Shane J. Nho

  2. Midwest Orthopaedics at Rush, Hip Preservation Center, Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL, 60612, USA

    Shane J. Nho

Authors
  1. Rachel M. Frank
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  2. Anil Gupta
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  3. Michael D. Hellman
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  4. Shane J. Nho
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Corresponding author

Correspondence to Rachel M. Frank .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Shane J. Nho

  2. Department of Orthopaedic Surgery, Schulthess Klinik, Zurich, Switzerland

    Michael Leunig

  3. Minnesota Orthopedic Sports Medicine Institute, Twin Cities Orthopedics - Edina, Edina, Minnesota, USA

    Christopher M. Larson

  4. Department of Orthopaedics, University of Michigan, Ann Arbor, Michigan, USA

    Asheesh Bedi

  5. Sports Medicine and Shoulder Service and Center for Hip Preservation Surgery, Hospital for Special Surgery, New York, New York, USA

    Bryan T. Kelly

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Frank, R.M., Gupta, A., Hellman, M.D., Nho, S.J. (2015). Surgical Technique: Arthroscopic Core Decompression. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_93

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  • DOI: https://doi.org/10.1007/978-1-4614-6965-0_93

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6964-3

  • Online ISBN: 978-1-4614-6965-0

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