Core Decompression for Juvenile Osteonecrosis

    Authors

    J. A. Herrera-Soto;C. T. Price

    Comments

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    Abbreviated Journal Title

    Orthop. Clin. North Am.

    Keywords

    Core decompression; Avascular necrosis; Legg-Calve-Perthes disease; Femoral head; Osteonecrosis; Orthopedics

    Abstract

    Core Decompression for Juvenile Osteonecrosis Jose A. Herrera-Soto and Charles T. Price Core decompression may be used as adjunct for treatment in some cases of Legg-Calve-Perthes disease (LCPD). The primary application is for patients with onset at 12 years of age or older. We recommend classifying these older patients as idiopathic juvenile osteonecrosis and treating them similarly to adults with avascular necrosis. Juvenile osteonecrosis may benefit from core decompression combined with shelf acetabuloplasty during the early stages of necrosis. Younger children with LCPD may benefit from decompression by fenestration of the femoral head. Experience in adult-onset osteonecrosis and our early experience suggest that some patients may benefit from these adjunctive treatments.

    Journal Title

    Orthopedic Clinics of North America

    Volume

    42

    Issue/Number

    3

    Publication Date

    1-1-2011

    Document Type

    Article

    Language

    English

    First Page

    429

    Last Page

    +

    WOS Identifier

    WOS:000208681000018

    ISSN

    0030-5898

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