Recently,
Ms. Tong, who has been deeply affected by osteonecrosis of the femoral head,
underwent core decompression combined with PRP treatment at the Orthopedic
Department of Hainan Chengmei Hospital. The application of this technology
has brought new treatment ideas and options for patients with osteonecrosis of
the femoral head, especially providing more rehabilitation possibilities for
those with mild to moderate osteonecrosis of the femoral head.
(In the surgery of core decompression combined with PRP)
Ms. Tong, 57 years old, was deeply afflicted by osteonecrosis of the femoral head, experiencing unbearable pain when walking, which seriously impacted her daily life. After undergoing examinations at an external hospital, doctors recommended surgical treatment. However, Ms. Tong was strongly resistant to surgery and hoped to alleviate her condition through conservative treatment.
Upon learning that the Orthopedics Department of Hainan Chengmei Hospital had developed a new technique for treating osteonecrosis of the femoral head using core decompression combined with PRP, she sought consultation from Director Wang Kuai-sheng of the Orthopedics Department.
Director Wang Kuai-sheng explained that core decompression is a standard surgical procedure for treating early osteonecrosis of the femoral head. By drilling holes in the femoral head, it reduces the pressure within the medullary cavity, relieving compression on blood vessels and thereby promoting blood circulation. PRP (Platelet-rich Plasma) contains abundant growth factors that can stimulate the proliferation and differentiation of osteocytes and chondrocytes, aiding in the repair and regeneration of bone tissue.
When the two are used in combination, they produce a "powerful alliance" effect:
Core decompression "opens up the blood vessels" for the femoral head, clearing the way for the PRP to exert its effect;
PRP, under an improved blood environment, further enhances the repair effect of bone tissue, making the treatment more efficient and thorough.
Experts indicate that this technique is suitable for patients like Ms. Tong who desire hip-preserving treatment, as well as younger patients.
Why is it suitable for these patients?
Young patients typically have higher expectations for quality of life and have a longer life expectancy. The artificial joints used in joint replacement surgery have a certain lifespan. If joint replacement is performed too early, patients may need to undergo multiple revision surgeries in the future, which not only brings physical pain to the patients but also increases the economic burden.
Moreover, core decompression combined with PRP treatment is a minimally invasive procedure that causes less trauma to the patients body and facilitates a relatively faster postoperative recovery. It can better preserve the patients own femoral head, meeting their quality of life needs in the long run. Additionally, for patients with mild to moderate osteonecrosis of the femoral head that has not yet collapsed, this technique can address both aspects of improving blood supply and promoting tissue repair, effectively halting the progression of the disease.
Scope of applicable population
According to the Expert Introduction, core decompression combined with PRP treatment is suitable for conditions where the femoral head has not yet collapsed and the bone structure remains intact. It is particularly suitable for patients with necrosis lesions <30% caused by factors such as hormones, alcohol, and trauma. Additionally, this treatment is also applicable to patients with mild collapse (<2mm) and no severe wear of articular cartilage, which can delay the progression of the disease.
Expert Introduction
Wang KuaiSheng, Chief Physician
Orthopedic Director
High-level talents in Hainan Province
Medical expertise
Specializes in the diagnosis and treatment of orthopedic-related diseases such as hand injuries, congenital hand deformities, nerve injuries, vascular injuries, tendon injuries, wrist diseases, peripheral nerve diseases, osteoarthritis, and lumbar diseases; possesses extensive clinical experience in the diagnosis and treatment of trauma diseases such as limb trauma and limb fractures. With microsurgical techniques, proficiently performs microsurgical-related orthopedic microsurgical repair surgeries such as nerve, vascular, and tendon injury repair, skin flap repair, scar plastic surgery, etc.
Clinic Hours
Thursday morning, Friday all day
Article | Huang Fei