Background: Osteonecrosis of femoral head is aseptic necrosis due to disruption of blood supply resulting in the death of bone cells. Core decompression is a standard procedure in treatment of early stage of Osteonecrosis femoral head in young. Bone grafting can potentially revitalize
the necrotic zone and accelerate healing.
Aims:
To look for functional outcome of core decompression & autologous cancellous bone grafting in
early stages of Osteonecrosis of head of femur.
Material And Methods:
Patients with early stages (Ficat Arlet I and II) were treated with core decompression & autologous cancellous bone grafting and were followed up for 9 months. The results were evaluated on the basis HHS and VAS.
Results:
Young males with unilateral hip pain with duration of symptoms less than 6 months and Grade II at presentation with no definitive cause were more common. There was significant improvement in HHS and VAS postoperatively till final follow up of 9 months. More patients had good HHS grade at 9 months. There was no complication during course of study.
Conclusion:
Core Decompression and Autologous bone grafting is a safe and effective treatment modality in early stages of osteonecrosis of femoral head in young.