Core Decompression and Its Use In Joint Restoration

Woman with Joint Compression Device on Elbow

Hip core decompression is performed to treat osteonecrosis of the hip. Releasing pressure in the bone entails drilling one more giant hole or multiple smaller holes into the dead bone of the femoral head (top of the thigh bone). Forming pathways for new blood vessels to supply the hip’s injured regions promotes enhanced blood flow.

How Does Core Compression Therapy Work for Joint Restoration?

Nobody is entirely sure what causes the femoral head to start dying; it might be trauma or a hereditary condition. Hip osteonecrosis, commonly known as hip necrosis (bone death), has been connected to steroid usage, alcoholism, lupus, sickle cell disease, and frequent dislocations. The pressure inside the bone is released by a hip decompression, which may enable optimal healing without needing a hip replacement. Along with core decompression, a doctor may also carry out one or more other treatments. These let the surgeon place an organic substance or bone transplant into the decompressed bone to aid tissue regeneration.

  • Autograft: The defective bone may be replaced by good bone tissue taken from another area of your body by the surgeon. An autograft is a name given to this kind of bone graft. The transplanted tissue develops in its new site, and the sturdy bone tissue is produced by fresh, healthy bone cells.
  • Vascularized Bone Graft: Doctors may also remove an intact artery and vein when removing a section of bone from another area of your body, usually the lower leg or ankle. A vascularized bone transplant is what this is. These newly implanted blood veins aid in reviving the bone’s blood supply.
  • Allograft: Doctors utilize bone tissue given to a bone bank when taking bone from a patient’s body is impossible due to unhealthy blood arteries or bones. This kind of bone graft, known as an allograft, may take longer to integrate into the bone, but once it does, the benefits are comparable to those of a graft made from your bone.
  • Biologic Injections: Injecting biologics is another treatment that can occasionally be done during core decompression. These may be live cells modified to carry out a particular task, such as regenerating healthy bone cells or producing growth factors and other chemicals that promote bone repair.
  • Stem Cell Replacement Therapy: Doctors first numb the region with a local anesthetic before using a needle to remove bone marrow from the pelvic bone. Doctors inject stem cells into the damaged bone’s hollow area after removing them from blood and other fluids. This promotes the growth of new bone cells and hastens the healing process.

It typically takes 6 to 12 months for core decompression procedures—which may or may not include a bone transplant or an injection of organic materials—to recover completely. It’s possible that you won’t need to spend the night in the hospital. Usually, two weeks following surgery, a follow-up visit includes the removal of sutures.

Core Decompression Procedures With Dearborn & Associates.

Please call the Dearborn & Associates Institute for Joint Restoration at (510) 818-7200 for more information on hip core decompression as a joint preservation treatment or to discuss your treatment options for hip discomfort.


Dr. John Dearborn - Dearborn & Associates

Dr. John Dearborn is a top-performing orthopedic surgeon in the Bay Area and Northern California. Dearborn & Associates Institute for Joint Restoration’s narrow focus and high volume, yields a wealth of clinical experience in the field. Dr. Dearborn and his team have performed over 16,000 successful joint replacement procedures in the last 20+ years.