title: A current review of core decompression in the treatment of osteonecrosis of the femoral head.
abstract: The review describes the following: (1) how traditional core decompression is performed, (2) adjunctive treatments, (3) multiple percutaneous drilling technique, and (4) the overall outcomes of these procedures. Core decompression has optimal outcomes when used in the earliest, precollapse disease stages. More recent studies have reported excellent outcomes with percutaneous drilling. Furthermore, adjunct treatment methods combining core decompression with growth factors, bone morphogenic proteins, stem cells, and bone grafting have demonstrated positive results; however, larger randomized trial is needed to evaluate their overall efficacy.
authors.affiliation: Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD, 21215, USA.
authors.forename: Todd P
authors.initials: TP
authors.lastname: Pierce
authors.forename: Julio J
authors.initials: JJ
authors.lastname: Jauregui
authors.forename: Randa K
authors.initials: RK
authors.lastname: Elmallah
authors.forename: Carlos J
authors.initials: CJ
authors.lastname: Lavernia
authors.forename: Michael A
authors.initials: MA
authors.lastname: Mont
authors.forename: James
authors.initials: J
authors.lastname: Nace