Osteonecrosis of the Femoral Head: Femoral Head Sparing Treatments
Osteonecrosis is a debilitating disease that affects patients with a varying degree of severity. Treatment for severe progression of the disease often includes total hip arthroplasty or resurfacing procedures. In a younger patient population, the preservation of the femoral head is desirable in cases where the integrity of the femoral head can be preserved. The indication for various femoral head preservation techniques differs based on the stage of the disease. Three femoral head preserving techniques will be discussed, including core decompression, percutaneous drilling, and nonvascularized bone grafting.
Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, Baltimore, MD, USA
Address reprint requests to Michael A. Mont, MD, Rubin Institute for Advanced Orthopaedics, Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215
MAM is a consultant for Stryker Orthopedics and Wright Medical Technologies, and receives royalties from Stryker Orthopedics. The remaining authors have no disclosures to make. No external funding was received specifically in support of this work.
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