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Principles of Core Decompression for Osteonecrosis of the Hip

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Osteonecrosis

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Abstract

Osteonecrosis of the femoral head is a poorly understood disease with a wide range of etiologies. It has been shown to affect mostly patients in the third and fourth decades of life [1–3]. Some of the known risk factors include corticosteroid use, excessive alcohol intake, radiation therapy, chemotherapy, renal transplant recipients, systemic lupus erythematosus, human immunodeficiency virus infection, and sickle cell disease (Table 38.1) [4–9]. The most commonly used classification systems used for staging are the Ficat and Arlet, the Association Research Circulation Osseous classification (ARCO), and the Japanese Orthopaedic Association (Table 38.2).

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD, 21215, USA

    Bhaveen H. Kapadia, Samik Banerjee, Jeffrey J. Cherian, Julio J. Jauregui & Michael A. Mont

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  1. Bhaveen H. Kapadia
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  2. Samik Banerjee
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  3. Jeffrey J. Cherian
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  4. Julio J. Jauregui
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  5. Michael A. Mont
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Correspondence to Michael A. Mont .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Kyonggi-do, Korea, Republic of (South Korea)

    Kyung-Hoi Koo

  2. Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, Maryland, USA

    Michael A. Mont

  3. Department of Orthopaedic Surgery, Department of Orthopaedic Surgery, Center for Metabolism and Obesity Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

    Lynne C. Jones

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Kapadia, B.H., Banerjee, S., Cherian, J.J., Jauregui, J.J., Mont, M.A. (2014). Principles of Core Decompression for Osteonecrosis of the Hip. In: Koo, KH., Mont, M., Jones, L. (eds) Osteonecrosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35767-1_38

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  • DOI: https://doi.org/10.1007/978-3-642-35767-1_38

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  • Online ISBN: 978-3-642-35767-1

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