Retrospective analysis shows improved outcomes in osteonecrosis patients using selective arterial perfusion and core decompression, suggesting a better intervention for early stages.
Key Points
This research aims to evaluate the effectiveness and safety of combining selective arterial perfusion with core decompression for treating osteonecrosis of the femoral head.
Retrospective study involving 102 individuals with nontraumatic osteonecrosis.
Participants divided into two groups: one receiving selective arterial perfusion and core decompression, the other core decompression alone.
Key outcomes measured included effective rate, femoral head collapse rate, lesion size, and various scores over a 12-month follow-up.
Experimental group showed a higher effective rate of 91.7% compared to 63.8% in the control group.
Femoral head collapse rate was lower in the experimental group at 5.6%, versus 19.0% in the control group.
Significant improvements in lesion size, bone marrow edema, VAS scores, and HHS scores favoring the experimental group.