title: Subchondral Insufficiency Fracture of the Femoral Head treated with Core Decompression and Bone Void Filler Support.
abstract: Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial protected weight bearing treatment. We present a case of a 48-year-old male with SIFFH who was treated with core hip decompression and bone void filler as a hip-preserving alternative to THA. The patient has an excellent clinical and radiographic result at final follow up. Core hip decompression with bone void filler is a less invasive alternative to THA, and may be a preferred initial treatment strategy for SIFFH in the young and active patient who has failed conservative measures.
authors: Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA.
authors: Hiren
authors: H
authors: Patel
authors: Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA.
authors: Atul F
authors: AF
authors: Kamath
keywords: Bone void filler; Hip core decompression; Hip preservation; Subchondral insufficiency fracture femoral head; Total hip arthroplasty