Core Decompression

Avascular necrosis (AVN) occurs when there is a loss of blood supply to the bone that results in the eventual death of the bone. Left untreated, the end result is an eventual collapse of the affected bone. AVN can occur in all joints, but it commonly occurs in the femoral head and at that stage total hip arthroplasty is routinely performed. This technique treats the AVN with decompression and by removing the necrotic bone, which is typically found 5 mm to 10 mm below the articular cartilage. Using arthroscopic and fluoroscopic guidance as a reference, the instruments allow for treatment of AVN lesions of the femoral head. Once the lesion is decompressed, Arthrex offers multiple biologic options to backfill the socket and cavity.

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Avascular necrosis (AVN) occurs when there is a loss of blood supply to the bone that results in the eventual death of the bone. Left untreated, the end result is an eventual collapse of the affected bone. AVN can occur in all joints, but it commonly occurs in the femoral head and at that stage total hip arthroplasty is routinely performed. This technique treats the AVN with decompression and by removing the necrotic bone, which is typically found 5 mm to 10 mm below the articular cartilage. Using arthroscopic and fluoroscopic guidance as a reference, the instruments allow for treatment of AVN lesions of the femoral head. Once the lesion is decompressed, Arthrex offers multiple biologic options to backfill the socket and cavity.

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Educational Resources and Products

Arthroscopically Assisted Core Decompression of the Hip for Avascular Necrosis of the Femoral Head

Thomas Youm, MD
Surgical Technique Videos | 09:00 | English | 03/25/2021 | VID1-000319-en-US A

AVN Expandable Reamer

Surgical Technique Animations | 04:31 | English | 05/11/2021 | AN1-000225-en-US A
Core Decompression for Avascular Necrosis of the Hip Using an Expandable Reamer
Surgical Technique Guides | English | 04/13/2022 | LT1-000034-en-US D
Core Decompression for Osteochondritis Dissecans
Surgical Technique Videos | 06:50 | English | 04/02/2021 | VID1-000580-en-US A
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(8)
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Surgical Technique Videos (2)

Core Decompression for Osteochondritis Dissecans
06:50 | English | 04/02/2021 | VID1-000580-en-US A
Arthroscopically Assisted Core Decompression of the Hip for Avascular Necrosis of the Femoral Head
Thomas Youm, MD
09:00 | English | 03/25/2021 | VID1-000319-en-US A

Surgical Technique Animations (1)

AVN Expandable Reamer
04:31 | English | 05/11/2021 | AN1-000225-en-US A

Surgical Technique Guides (2)

Presentation Videos (2)

Arthroscopic Treatment of Avascular Necrosis (AVN) of the Femoral Head
Thomas Youm, MD
08:12 | English | 03/04/2016 | VPT1-00618-EN B
Treating Avascular Necrosis (AVN) of the Hip with Bone Marrow Concentrate and Arthrex® Quickset™
Sébastien Parratte, MD, PhD
08:03 | English | 02/16/2015 | VPT1-00371-EN A

Product and Technique Highlights (1)

Hip Arthroscopy New Product & Technique Highlights
English | 04/21/2022 | evBR1-002490-en-US C