Biological Augmentation With Retro-Drilling Core Decompression in Early Stage of Femoral Head Avascular Necrosis

IF 1.2 Q3 ORTHOPEDICS Arthroscopy Techniques Pub Date : 2024-11-01 DOI:10.1016/j.eats.2024.103093
Murat Bozkurt M.D., Ph.D. , Enejd Veizi M.D. , Neslihan Fırat Ph.D. (c) , Ali Şahin M.D.
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Abstract

Osteonecrosis of the femoral head can lead to end-stage osteoarthritis when left untreated. The incidence has been on the rise since the onset of the COVID-19 pandemic. Core decompression of the femoral head is usually the first line of surgical treatment when conservative options fail. Additional biologic support (e.g., bone marrow aspiration concentrates, mesenchymal stem cell derivatives, adipose-derived stromal vascular fraction) has been shown to augment the effects of core decompression alone, but the nature and amount of this additional support is still a topic for debate. This technique describes a surgical approach featuring debridement through retro-drilling, core decompression, and biologic augmentation with stromal vascular fraction and bone marrow aspiration concentrate on the early stages of osteonecrosis of the femoral head.
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股骨头血管性坏死早期的生物增生与反向钻孔核心减压术
股骨头骨坏死如不及时治疗,可导致终末期骨关节炎。自 COVID-19 大流行以来,其发病率一直呈上升趋势。当保守治疗无效时,股骨头核心减压术通常是第一线手术治疗方法。额外的生物支持(如骨髓抽吸浓缩物、间充质干细胞衍生物、脂肪基质血管成分)已被证明可增强单纯股骨头核心减压术的效果,但这种额外支持的性质和数量仍是一个争论不休的话题。该技术描述了一种手术方法,其特点是通过反向钻孔进行清创、核心减压,并使用基质血管成分和骨髓抽吸进行生物增量,集中用于股骨头坏死的早期阶段。
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来源期刊
Arthroscopy Techniques
Arthroscopy Techniques ORTHOPEDICS-
CiteScore
2.10
自引率
33.30%
发文量
291
审稿时长
29 weeks
期刊最新文献
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