Publication: Core decompression with bone marrow injection for the treatment of femoral head osteonecrosis
Issued Date
2014-01-01
Resource Type
ISSN
01252208
01252208
01252208
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2-s2.0-84922246227
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.97, (2014), S139-S143
Suggested Citation
Areesak Chotivichit, Ekkapoj Korwutthikulrangsri, Chaturong Pornrattanamaneewong, Chaiwat Achawakulthep Core decompression with bone marrow injection for the treatment of femoral head osteonecrosis. Journal of the Medical Association of Thailand. Vol.97, (2014), S139-S143. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/34387
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Title
Core decompression with bone marrow injection for the treatment of femoral head osteonecrosis
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Abstract
© 2014, Medical Association of Thailand. All Rights Reserved. Background: Core decompression has been recommended in treatment of non-traumatic femoral head necrosis in early stage. Injection with patient’s own bone marrow from the iliac crest might promote bone formation in the femoral head. Objective: To evaluate the result of patients treated by this technique. Material and Method: Retrospective review of a series cases by the medical records and radiographic pictures. Results: There were 34 procedures from 32 patients. Mean follow-up time was 24.6 months in stage 2 and 27.8 months in stage 3. Radiographic progression was observed in 76% and 69% of stage 2 and 3. Twenty one percent of stage 2 hips underwent other surgeries when 46% of stage 3 did at last follow-up. Pain relief was observed in all cases after the surgery. Conclusion: The proposed technique yielded only fair results. Probably due to most patients had steroid related pathology.