VIDEO: Select cases of osteonecrosis of the femoral head may benefit from preservation

ByCasey Tingle

ByKristine Houck, MA, ELS

ByRafael J. Sierra, MD

Fact checked byGina Brockenbrough, MA

KOLOA, Hawaii — In this video from Orthopedics Today Hawaii, Rafael J. Sierra, MD, discusses the importance of joint preservation for osteonecrosis of the femoral head.

Although primary total hip arthroplasty may be a good option for any diagnosis, Sierra said preservation may be more ideal in select situations. This includes young patients with less than 30% involvement of the femoral head without collapse and very young patients with smaller areas of collapse.

“Potentially, joint preservation in the form of an osteochondral transfer may be an option,” Sierra, from the Mayo Clinic in Rochester, Minnesota, told Healio. “In patients with less than 30% involvement of the femoral head and without collapse, a hip decompression with injection of bone marrow concentrate has been shown to be successful in about 90% of patients with lesions less than 30% out to 10 years in one of our studies.”

Published by:

Sources/Disclosures

Collapse

Source:

Sierra RJ. Osteonecrosis of the femoral head: Head preservation in 2025. Presented at: Orthopedics Today Hawaii; Jan. 12-16, 2025; Koloa, Hawaii.

Disclosures: Sierra reports receiving royalties from Zimmer Biomet, Link Orthopedics, OrthAlign and Springer-Nature; research support from OrthAlign and Zimmer Biomet; and being on the editorial or governing board for the American Association of Hip and Knee Surgeons, the Academic Network of Conservational Hip Outcomes Research Study Group, Muller Foundation North America and ARCO.

Orthopedics Today Hawaii

Read more

VIDEO: Select cases of osteonecrosis of the femoral head may benefit from preservation

Related Content