@article { author = {Patel, Hiren and Kamath, Atul}, title = {Subchondral Insufficiency Fracture of the Femoral Head Treated with Core Decompression and Bone Void Filler Support}, journal = {The Archives of Bone and Joint Surgery}, volume = {4}, number = {3}, pages = {264-268}, year = {2016}, publisher = {Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association}, issn = {2345-4644}, eissn = {2345-461X}, doi = {10.22038/abjs.2016.6302}, abstract = {Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial protected weight bearing treatment. We present a case of a 48-year-old male with SIFFH who was treated with core hip decompression and bone void filler as a hip-preserving alternative to THA. The patient has an excellent clinical and radiographic result at final follow up. Core hip decompression with bone void filler is a less invasive alternative to THA, and may be a preferred initial treatment strategy for SIFFH in the young and active patient who has failed conservative measures.}, keywords = {FEMORAL HEAD INSUFFICIENCY FRACTURE TREATED WITH BONE VOID SUPPORT}, url = {https://abjs.mums.ac.ir/article_6302.html}, eprint = {https://abjs.mums.ac.ir/article_6302_de8a300b0ced504ae7a078e81624f9fd.pdf} }