Show simple item record

dc.contributor.authorAndronic, Octavian
dc.contributor.authorWeiss, Ori
dc.contributor.authorShoman, Haitham
dc.contributor.authorKriechling, Philipp
dc.contributor.authorKhanduja, Vikas
dc.date.accessioned2021-02-18T18:37:01Z
dc.date.available2021-02-18T18:37:01Z
dc.date.issued2020-09-04
dc.date.submitted2020-08-25
dc.identifier.issn0341-2695
dc.identifier.others00264-020-04790-9
dc.identifier.other4790
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/317859
dc.descriptionFunder: University of Cambridge
dc.description.abstractAbstract: Purpose: Core decompression (CD) of the femoral head is performed to preserve the hip in avascular necrosis (AVN). The outcome following this procedure differs based on the medical centre and the technique. Also, the time to total hip replacement (THR) and the percentage of patients subsequently undergoing a THR are controversial. Methods: A systematic review was performed following PRISMA guidelines. The search included CENTRAL, MEDLINE, EMBASE, Scopus, AMED and Web of Science Core Collection databases. Studies reporting the outcome of CD for AVN were assessed. Studies using additional implants, vascularized grafts or any type of augmentation were excluded. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal Checklist (JBI CAC) tool. Trial registration: International prospective register of systematic reviews (PROSPERO) - CRD42018100596. Results: A total of 49 studies describing 2540 hips were included. The mean weighted follow-up time was 75.1 months and the mean age at surgery was 39 years. Twenty-four of 37 studies reported improvement in all outcome scores, whilst 9/37 studies report only partial improvement post-operatively. Four studies (4/37) described poor clinical outcomes following intervention. Data was pooled from 20 studies, including 1134 hips with a weighted mean follow-up of 56 months. The percentage of hips undergoing THR averaged 38%. The time to THR had a weighted mean of 26 months after CD. Conclusion: Pooled results from 1134 hips and of these nearly 80% with early stage of osteonecrosis, showed that approximately 38% of patients underwent a total hip replacement at an average of 26 months following core decompression without augmentation.
dc.languageen
dc.publisherSpringer Berlin Heidelberg
dc.rightsAttribution 4.0 International (CC BY 4.0)en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectReview Article
dc.subjectCore decompression
dc.subjectHip preservation
dc.subjectHip arthroscopy
dc.subjectAvascular osteonecrosis of the femoral head
dc.subjectAVN
dc.subjectOsteonecrosis
dc.titleWhat are the outcomes of core decompression without augmentation in patients with nontraumatic osteonecrosis of the femoral head?
dc.typeArticle
dc.date.updated2021-02-18T18:37:00Z
prism.endingPage613
prism.issueIdentifier3
prism.publicationNameInternational Orthopaedics
prism.startingPage605
prism.volume45
dc.identifier.doi10.17863/CAM.64974
dcterms.dateAccepted2020-08-26
rioxxterms.versionofrecord10.1007/s00264-020-04790-9
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidKhanduja, Vikas [0000-0001-9454-3978]
dc.identifier.eissn1432-5195


Files in this item

Thumbnail
Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record

Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's licence is described as Attribution 4.0 International (CC BY 4.0)