Comparative Study of Core Decompression with Autologous Iliac Crest Bone Graft Versus Bone Marrow Infiltration in Osteonecrosis of Femoral Head
Original Article | Journal of Clinical Orthopaedics | Vol 10 | Issue 2 | July-December 2025 | page: 85-89 | Manish Kumar Yadav, O.P Lakhwani, Rajan Kumar Kaushal, Sathyendra KG, Venkatesh Kumar S, Sanjay Singh Rawat
DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.786
Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).
Submitted Date: 26 Aug 2025, Review Date: 12 Sep 2025, Accepted Date: 27 Oct 2025 & Published Date: 10 Dec 2025
Author: Manish Kumar Yadav [1], O.P Lakhwani [1], Rajan Kumar Kaushal [1], Sathyendra KG [1], Venkatesh Kumar S [2], Sanjay Singh Rawat [2]
[1] Department of Orthopaedics , ESI-PGIMSR,Hospital Basaidarapur, New Delhi-110015
[2] Department of Orthopaedics, Dhanalakshmi Srinivasan Medical College And Hospital, Siruvachur, Perambalur – 621 113. Tamilnadu, India
Address of Correspondence
Dr. Dr. Sathyendra KG,
Senior Resident, Department of Orthopaedics , ESI-PGIMSR,Hospital Basaidarapur, New Delhi-110015
E-mail: drsathyendrakg@gmail.com
Abstract
Background: We intend to determine the difference in outcome of core decompression with autologous iliac crest bone graft versus bone marrow infiltration in avascular necrosis (AVN) of femoral head.
Materials and Methods: Stage II, III of Ficat and Arlet of AVN of femoral head evaluated clinically and radiologically before getting included into this study. A minimum of 20 cases were studied after clearance from the Ethics committee.
Results: In our study, the mean HHS were statistically significant differences between the groups at 3 months and 6 months (P <0.05). At 3 months, the mean Visual Analog Scale (VAS) was 5.7 in Group A and 4.3 in Group B. At the end of the study (6 months), the mean VAS was 4.9 in group A and 2.7 in Group B. However, there were statistically significant differences between the groups at 3 months and 6 months (P < 0.05). Stage III X-ray finding was most common in Group a (63.6%) at pre-operative, and Stage II was most common in Group B (63.6%) at pre-operative. A similar finding was found at 6 months post-operative. Stage III magnetic resonance imaging (MRI) finding was most common in Group a (63.6%) at pre-operative and Stage II was most common in Group B (63.6%) at pre-operative. There was no significant difference (P > 0.05) in MRI and X-ray findings at pre-operative and 6 months between the groups.
Conclusion: We conclude that core decompression with bone marrow infiltration is better to iliac crest bone graft because of better HHS and VAS at 6 months in Stage II, III of Ficat and Arlet of AVN of femoral head.
Keywords: Osteonecrosis of femoral head, Core decompression, Autologous iliac crest bone graft, Bone marrow infiltration, Harris Hip Score
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| How to Cite this Article: Yadav MK, Lakhwani OP, Kaushal RK, Sathyendra KG, Venkatesh Kumar S, Sanjay Singh Rawat. Comparative Study of Core Decompression with Autologous Iliac Crest Bone Graft Versus Bone Marrow Infiltration in Osteonecrosis of Femoral Head. Journal of Clinical Orthopaedics. July-December 2025;10(2):85-89. |
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