Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Modified technique of advanced core decompression for treatment of femoral head osteonecrosis
Lin Lin, Yan Jiao, Xian-Guo Luo, Jin-Zhu Zhang, He-Liang Yin, Li Ma, Bo-Ran Chen, Derek M Kelly, Wei-Kuan Gu, Hong Chen
Lin Lin, Yan Jiao, He-Liang Yin, Li Ma, Derek M Kelly, Wei-Kuan Gu, Department of Orthopedic Surgery and BME-Campbell Clinic, University of Tennessee Health Science Center, Memphis, TN 38163, United States
Lin Lin, Xian-Guo Luo, Jin-Zhu Zhang, He-Liang Yin, Li Ma, Bo-Ran Chen, Hong Chen, Center of Integrative Research, The First Hospital of Qiqihar, Qiqihaer 161005, Heilongjiang Province, China
Lin Lin, Xian-Guo Luo, Jin-Zhu Zhang, He-Liang Yin, Li Ma, Bo-Ran Chen, Hong Chen, Affiliated Qiqihar Hospital, Southern Medical University, Qiqihaer 161005, Heilongjiang Province, China
Lin Lin, Xian-Guo Luo, Jin-Zhu Zhang, The Precision Treatment Institute of Jinzhu Osteoarthrosis in Qiqihar, Qiqihaer 161005, Heilongjiang Province, China
Wei-Kuan Gu, Research Service 151, VA Medical Center, Memphis, TN 38112, United States
Author contributions: Lin L and Gu WK carried out the studies, participated in collecting the data, and drafted the manuscript; Jiao Y and Kelly DM reviewed the language and helped to draft the manuscript; Luo XG and Zhang JZ participated in its design; Yin HL, Ma L, and Chen BR participated in collecting the data; Chen H acquired funding and project administration; all authors read and approved the final manuscript.
Supported by The First Hospital of Qiqihar, No. 2013-006; and Department of Veterans Affairs and the Veterans Administration Medical Center in Memphis, No. I01 BX000671.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of first hospital of Qiqihar city.
Informed consent statement: All participants provided written informed consent.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Wei-Kuan Gu, PhD, Professor, Department of Orthopedic Surgery and BME-Campbell Clinic, University of Tennessee Health Science Center, 956 Court Ave, Memphis, TN 38163, United States. wgu@uthsc.edu
Received: March 2, 2020
Peer-review started: March 2, 2020
First decision: April 22, 2020
Revised: May 14, 2020
Accepted: May 30, 2020
Article in press: May 30, 2020
Published online: July 6, 2020
Processing time: 126 Days and 5.1 Hours
BACKGROUND
Osteonecrosis of the femoral head (ONFH) is a destructive condition most commonly affecting young and middle-aged patients. The leading consequence of ONFH is often a significant articular disability. Effective joint-preserving surgical treatments are urgently needed for patients with early stage ONFH when outcomes of treatment are in general better than the advanced stage disease.
AIM
To introduce a new surgery procedure called percutaneous expanded core decompression and mixed bone graft technique, which is a new way of joint-preserving surgical treatments.
METHODS
The clinical data of 6 patients with ONFH diagnosed and treated with the procedure called percutaneous expanded core decompression and mixed bone graft technique at The First Hospital of Qiqihar from March 2013 to August 2019 were retrospectively analyzed; the follow-up ended in December 2019.
RESULTS
There were 6 male patients with an average age of 43 years in our study. Gratifying results have been obtained from the comparison of Harris hip score, visual analogue scale, and imaging examination before and after operation.
CONCLUSION
This new modified technique is simple, safe, and reliable. No serious perioperative complications were observed in our cases. Advantages of the single blade expandable reamer are obvious. The adjuvant substance is inexpensive and easy to obtain. Thus, this technique is an effective joint-preserving surgical treatment for patients with early stage of ONFH.
Core tip: Percutaneous expanded core decompression and mixed bone graft technique is simple, safe, and reliable. In our cases no serious perioperative complications were observed. Advantages of the single blade expandable reamer are obvious. The adjuvant is inexpensive and easy to obtain. Thus, this technique is an effective joint-preserving surgical treatment for patients with early stage of osteonecrosis of the femoral head. It is easy to master as well as costs less. We present it here in the hope that colleagues in other institutions could try to use it and together to fully demonstrate its effectiveness.
