Osseoscopy: Direct Visualization to Assist Core Decompression and Debridement of Necrotic Bone Defects.
case_series · Level IV
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- Record sourced from PubMed, PMID 28706806.
- Also identified by DOI 10.1016/j.eats.2017.01.004 and PMC identifier 5495213.
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Abstract
Free vascularized fibular grafting after core decompression and debridement of necrotic lesions is an effective surgical treatment of avascular necrosis of the femoral head. A technical challenge encountered in performing this procedure is ensuring adequate debridement of necrotic parts while preserving healthy bone. A previously described method accomplishes this indirectly using radioactive contrast media and fluoroscopy, increasing the risk of radiation exposure. We propose a surgical technique using standard arthroscopic equipment to visualize inside the femoral head, facilitating precise and accurate debridement without additional radiation exposure.