Afetse Eddie K, Kopolovich Daniel, Jochl Olivia M, Hartman Budnik Jasmine V, Nishimura Haruki, Noorzad Ali, Philippon Marc J
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
The Steadman Clinic, Vail, Colorado, U.S.A.
Arthrosc Tech. 2024 Oct 26;14(2):103233. doi: 10.1016/j.eats.2024.103233. eCollection 2025 Feb.
Avascular necrosis of the femoral head arises due to inadequate blood supply to the femoral head, leading to cell death, fracture, and eventually collapse. The disease often begins as asymptomatic but can present with pain, stiffness, and limited range of motion in later phases. These symptoms cause disability, predominantly in young to middle-aged individuals. Both conservative and operative treatment modalities have been used depending on the progression of the disease. Timely surgical intervention is essential to enhance outcomes and avert stress fractures, subchondral collapse, and secondary hip arthritis. This technical note presents an arthroscopic approach to core decompression for the minimally invasive management of avascular necrosis of the femoral head.
股骨头缺血性坏死是由于股骨头血液供应不足引起的，导致细胞死亡、骨折，最终塌陷。该病通常起病时无症状，但在后期可出现疼痛、僵硬和活动范围受限。这些症状会导致残疾，主要发生在中青年个体。根据疾病的进展情况，已采用了保守和手术治疗方式。及时的手术干预对于提高治疗效果、避免应力性骨折、软骨下塌陷和继发性髋关节炎至关重要。本技术说明介绍了一种关节镜下核心减压方法，用于股骨头缺血性坏死的微创治疗。
