Treatment of femoral head osteonecrosis with core decompression and subsequent hyperbaric oxygen therapy Femur başi osteonekrozunun kor dekompresyon ve takibinde hiberbarik oksijen uygulamasi ile tedavisi

Aim. Regardless the etiologic factor, femoral head avascular necrosis is a process that occurs with femoral head local blood supply deficiency. The purpose of our study was to evaluate the clinical and radiologic outcomes in patients diagnozed with grade 1 and 2 avascular necrosis of the femoral head who were treated with a combination of core decompression and hyperbaric oxygen therapy. Method. In our study we have evaluated 21 hips of 16 patients retrospectively, which we have treated with a combination of core decompression and hyperbaric oxygen therapy. We performed clinical and radiological evaluation to the patients. Result. VAS and Harris hip scores showed improvement in all of our patients except in short term results. Conclusion. Core decompression and subsequent hyperbaric oxygen therapy are accomplishing each other because of their synergistic effects.