Using Computed Tomography-Based Three-dimensional Modeling and Computer Navigation for Minimally Invasive Core Decompression and Adjuvant Orthobiologic Therapy of Femoral Head Avascular Necrosis

Autor: Alborz Feizi, MD, PhD, Cameron Ellison Bell, BS, Gregory Ronald Roytman, BS, Nancy Park, BS, Annie Wang, MD, Steven Tommasini, PhD, Daniel Wiznia, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Arthroplasty Today, Vol 26, Iss , Pp 101337- (2024)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2024.101337
Popis: Avascular necrosis of the femoral head is a debilitating condition that can lead to femoral head collapse. Core decompression with adjuvant cellular therapies, such as bone marrow aspirate concentrate, delays disease progression and improves outcomes. However, inconsistent results in the literature may be due to limitations in surgical technique and difficulty in targeting the necrotic lesions. Here, we present a surgical technique utilizing computed tomography-based three-dimensional modeling and instrument tracking to guide the therapy to the center of the lesion. This method minimizes the number of attempts to reach the lesion and confirms the three-dimensional positioning of the instrumentation within the lesion. Our technique may improve the outcomes of core decompression and adjuvant therapy and prevent or delay hip collapse in patients with femoral head avascular necrosis.
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