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core decompression is to provide pain relief through reducing venous congestion and bone-marrow pressure. 15 , 19 With the decrease in intraosseous pressure, blood flow is increased to the necrotic area of bone, thus alleviating the pathologic
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-repair. Reattaching the capsule and piriformis tendon to the greater trochanter by intra-osseous stiches or to the gluteus tendon made no difference to stability. 16 Soft tissue repair may reduce or, together with a large head, even eliminate the disadvantage of
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University of Leeds, Leeds, UK
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bulky and require removal. 42 A L fractures are less common but if displaced can result in a loss of medial stem support and therefore should be fixed using an intraosseous cerclage trochanteric wiring technique. Type B1 fractures The
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stem cells; CD, core decompression; AVN, avascular necrosis; FH, femoral head; HHS, Harris Hip Score; THA, total hip arthroplasty; VAS, visual analogue scale. Core decompression (CD) The aim of CD is to attempt to reduce intra-osseous
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allow diagnosis making. It was described by Ficat and is a commonly used method for treating pre-collapse lesions. It is supposed to reduce the intraosseous pressure as well as to restore the vascular inflow of the femoral head. Ficat et al have
