Efficacy of Autologous Bone Grafting in Addition to Core Decompression in Pre-Collapse Osteonecrosis of Head of Femur

Abstract

Introduction: One of the most often used treatments for femoral head osteonecrosis is core decompression. A surgical procedure combining core decompression and impaction autologous bone grafting in an effort to find a novel treatment for patients who have osteonecrosis in its early stages.

Objective: To look for functional outcome of autologous bone grafting in addition to core decompression in pre-collapse osteonecrosis of head of femur

Methods: Early-stage patients (FicatArlet I and II) were split into two treatment groups, each of which had core decompression with or without autologous cancellous bone grafting. Patients in both groups were followed up for nine months. The outcomes were assessed using HHS, VAS, and X-rays.

Results: Young males with bilateral hip pain, Grade II at presentation, and symptoms lasting less than six months were more prevalent. Both groups' HHS and VAS significantly improved three months after surgery. The bone grafting group had even better HHS grade outcomes.

Conclusion: In comparison to core decompression alone, autologous cancellous bone grafting showed better outcomes in terms of HHS/functional improvement and VAS scores in pre-collapse stages of osteonecrosis of femoral head in young.