Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Making core decompression work.

B N Stulberg1, T W Bauer, G H Belhobek

  • 1Department of Orthopaedic Surgery, Cleveland Clinic, Ohio.

Clinical Orthopaedics and Related Research
|December 1, 1990
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Electrophysiology-based stratification of pancreatic tumorigenicity by label-free single-cell impedance cytometry.

Analytica chimica acta·2020
Same author

Trends in use of lymphadenectomy in surgery with curative intent for intrahepatic cholangiocarcinoma.

The British journal of surgery·2018
Same author

Early versus late recurrence of intrahepatic cholangiocarcinoma after resection with curative intent.

The British journal of surgery·2017
Same author

Acute Posttraumatic Pubic Symphysis Instability in an Athlete.

The Physician and sportsmedicine·2016
Same author

Unsuitable distinction between viable and dead Staphylococcus aureus and Staphylococcus epidermidis by ethidium bromide monoazide.

Letters in applied microbiology·2009
Same author

The "mini brain" appearance of plasmacytoma in the appendicular skeleton.

Skeletal radiology·2008
Same journal

Impact Microindentation Evaluates Bone Strength, Bone Quality, and Fracture Susceptibility Across Skeletal Sites: A Cadaver Study.

Clinical orthopaedics and related research·2026
Same journal

What Is the Effect of Robot Reduction in Displaced Pelvic Fractures? A Multicenter Randomized Clinical Trial.

Clinical orthopaedics and related research·2026
Same journal

CORR Insights®: Acute or Delayed TKA for Tibial Plateau Fracture? An Observational Study From the Swedish Arthroplasty Register.

Clinical orthopaedics and related research·2026
Same journal

Reply to the Letter to the Editor: Guest Editorial: Recalling a Recall.

Clinical orthopaedics and related research·2026
Same journal

Radial Head Fractures Cluster in the Anterolateral and Anteromedial Quadrants and Do Not Correlate With Coronoid Fracture Types.

Clinical orthopaedics and related research·2026
Same journal

Reduced Cerebellar Activation With Eyes Closed Is Associated With Delayed Peroneal Reaction Time in Patients With Chronic Ankle Instability.

Clinical orthopaedics and related research·2026
See all related articles

Core decompression is a safe and effective treatment for early-stage osteonecrosis (ON) of the hip. This procedure offers predictable pain relief and stabilization, particularly in Stage I and II ON.

Area of Science:

  • Orthopedic Surgery
  • Bone Diseases

Background:

  • Osteonecrosis (ON) assessment requires accurate diagnosis, staging, understanding disease variability, consistent treatment application, and clear therapeutic goals.
  • A structured diagnostic and therapeutic approach is crucial for evaluating ON treatments.

Purpose of the Study:

  • To review a diagnostic algorithm for accurate ON diagnosis and staging.
  • To outline a consistent surgical technique for core decompression with defined goals.
  • To assess the efficacy of core decompression in treating ON through clinical studies.

Main Methods:

  • A prospective randomized study compared core decompression to conservative management in 55 hips.
  • A preliminary review of a ten-year study on core decompression outcomes was conducted.

Related Experiment Videos

  • Diagnostic and therapeutic philosophies guided the clinical studies.

    • Main Results:

    • Core decompression provided more predictable pain relief than conservative management.
    • Core decompression more consistently altered indications for further surgical intervention compared to conservative care.
    • Core decompression demonstrated particular utility in Stage I and II ON, with predictable roentgenographic stabilization in Stage I hips.

    Conclusions:

    • Core decompression is a safe, effective, and predictable procedure for treating Stage I and Stage II osteonecrosis.
    • The study supports a structured approach to ON diagnosis and treatment.
    • Core decompression offers significant benefits in early-stage ON management.