{"id":"https://openalex.org/W4387955010","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20233266","title":"Avascular necrosis hips: management with core decompression bone graft and bone marrow aspirate concentrate","display_name":"Avascular necrosis hips: management with core decompression bone graft and bone marrow aspirate concentrate","publication_year":2023,"publication_date":"2023-10-26","ids":{"openalex":"https://openalex.org/W4387955010","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20233266"},"language":"en","primary_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20233266","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20233266","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20233266","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/2895/1650","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijoro.org/index.php/ijoro/article/download/2895/1650","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057381557","display_name":"H. R. Jhunjhunwala","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210135821","display_name":"Bombay Hospital","ror":"https://ror.org/03xmsh521","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210135821"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"H. R. Jhunjhunwala","raw_affiliation_strings":["Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India","institution_ids":["https://openalex.org/I4210135821"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5093128013","display_name":"Pratik Sunil Tawri","orcid":"https://orcid.org/0000-0003-0262-5074","observed_orcids":["https://orcid.org/0000-0003-0262-5074"]},"institutions":[{"id":"https://openalex.org/I4210135821","display_name":"Bombay Hospital","ror":"https://ror.org/03xmsh521","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210135821"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Pratik Sunil Tawri","raw_affiliation_strings":["Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India"],"raw_orcid":"https://orcid.org/0000-0003-0262-5074","affiliations":[{"raw_affiliation_string":"Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India","institution_ids":["https://openalex.org/I4210135821"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210135821"],"apc_list":null,"apc_paid":null,"fwci":0.4775,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.56988992,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":95},"biblio":{"volume":"9","issue":"6","first_page":"1212","last_page":"1218"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12209","display_name":"Bone and Joint Diseases","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12209","display_name":"Bone and Joint Diseases","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11218","display_name":"Hip disorders and treatments","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10975","display_name":"Bone Tumor Diagnosis and Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/avascular-necrosis-of-the-femoral-head","display_name":"osteonecrosis of the femoral head","score":0.9819999933242798},{"id":"https://openalex.org/keywords/core-decompression","display_name":"core decompression","score":0.9729999899864197},{"id":"https://openalex.org/keywords/bone-marrow-aspirate-concentrate","display_name":"bone marrow aspirate concentrate","score":0.9990000128746033},{"id":"https://openalex.org/keywords/bone-grafting","display_name":"bone grafting","score":0.7070000171661377},{"id":"https://openalex.org/keywords/harris-hip-score","display_name":"Harris hip score","score":0.9480000138282776},{"id":"https://openalex.org/keywords/intraosseous-pressure","display_name":"intraosseous pressure","score":0.7559999823570251},{"id":"https://openalex.org/keywords/early-stage-osteonecrosis","display_name":"early-stage osteonecrosis","score":0.6769999861717224},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.6859999895095825}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9655399322509766},{"id":"https://openalex.org/C2777560053","wikidata":"https://www.wikidata.org/wiki/Q503629","display_name":"Avascular necrosis","level":3,"score":0.8424981236457825},{"id":"https://openalex.org/C2779100257","wikidata":"https://www.wikidata.org/wiki/Q582849","display_name":"Femoral head","level":2,"score":0.7756680250167847},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.705100953578949},{"id":"https://openalex.org/C2779480328","wikidata":"https://www.wikidata.org/wiki/Q1183684","display_name":"Decompression","level":2,"score":0.6113531589508057},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.6083968281745911},{"id":"https://openalex.org/C2776211809","wikidata":"https://www.wikidata.org/wiki/Q17021143","display_name":"Harris Hip Score","level":3,"score":0.5350227355957031},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.49974536895751953},{"id":"https://openalex.org/C2776337968","wikidata":"https://www.wikidata.org/wiki/Q3814234","display_name":"Bone grafting","level":2,"score":0.4869023859500885},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.2647775709629059},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.06443509459495544},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18203/issn.2455-4510.intjresorthop20233266","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20233266","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20233266","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/2895/1650","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20233266","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20233266","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20233266","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/2895/1650","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387955010.pdf","grobid_xml":"https://content.openalex.org/works/W4387955010.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1529708461","https://openalex.org/W1898460111","https://openalex.org/W1911445707","https://openalex.org/W1965432241","https://openalex.org/W1994975339","https://openalex.org/W2008045794","https://openalex.org/W2043303130","https://openalex.org/W2057734869","https://openalex.org/W2176618963","https://openalex.org/W2311479786","https://openalex.org/W2417622411","https://openalex.org/W2807400018","https://openalex.org/W4320800983"],"related_works":["https://openalex.org/W3212177990","https://openalex.org/W4410084386","https://openalex.org/W7117355987","https://openalex.org/W4213073069","https://openalex.org/W6930180612","https://openalex.org/W216839218","https://openalex.org/W2386329950","https://openalex.org/W3116986306","https://openalex.org/W4414832221","https://openalex.org/W1992326825"],"abstract_inverted_index":{"Background:":[0],"Avascular":[1],"necrosis":[2],"of":[3,16,78,89,93,101,130,189,208,210,221,232],"the":[4,14,17,39,56,76,87,94,102,112,119,190,205,211,219,233],"femoral":[5,18,212],"head":[6,19,213],"is":[7,41,179,200,215],"a":[8,30,166],"disorder":[9],"that":[10],"can":[11,21,35,49],"lead":[12],"to":[13,23,74,110,174,224],"collapse":[15],"and":[20,98,114,132,135,152,186,197,202,214,229],"progress":[22],"secondary":[24],"osteoarthritis,":[25],"which":[26,178],"would":[27],"ultimately":[28],"require":[29],"total":[31],"hip":[32,95,121,157],"replacement.":[33],"It":[34],"be":[36,50],"avoided":[37],"if":[38],"disease":[40,57],"diagnosed":[42],"at":[43,235],"an":[44],"early":[45,90,206],"stage.":[46],"Intra-osseous":[47],"pressures":[48],"reduced,":[51],"thereby":[52],"aiding":[53],"in":[54,141,155,169,204,217],"halting":[55],"progression":[58,220],"by":[59,96,117],"core":[60,79,148],"decompression":[61,80,149,194],"along":[62],"with":[63,68,81,83,123,150,195],"bone":[64,70,84,153,198],"marrow":[65],"aspirate":[66],"concentrate":[67],"morselized":[69],"allograft.":[71],"Aim":[72],"was":[73,139,165],"evaluate":[75,111],"role":[77],"BMAC":[82,151,196],"grafting":[85,154,199],"for":[86,125],"treatment":[88],"stage":[91,161],"AVN":[92,156,209,222],"clinical":[97,113,228],"functional":[99,115,127,187,230],"outcomes":[100,116,231],"patient.":[103],"Methods:":[104],"A":[105],"prospective":[106],"observational":[107],"study":[108],"done":[109],"using":[118],"Harris":[120],"score":[122],"domains":[124],"pain,":[126],"activity,":[128],"range":[129],"motion,":[131],"gait.":[133],"Pre-operative":[134],"18-months":[136],"post-operative":[137],"HHS":[138,170],"calculated":[140],"30":[142],"samples":[143],"between":[144],"30-50":[145],"years":[146],"undergoing":[147],"upto":[158],"Ficat":[159],"Arlet":[160],"IIb.":[162],"Results:":[163],"There":[164],"significant":[167],"increase":[168],"from":[171],"67.66\u00b19.87":[172],"pre-operatively":[173],"92.4\u00b17.4":[175],"post-operatively":[176],"(p<0.05)":[177],"statistically":[180],"significant),":[181],"indicates":[182],"marked":[183],"pain":[184],"relief":[185],"well-being":[188],"patients.":[191],"Conclusions:":[192],"Core":[193],"safe":[201],"effective":[203],"stages":[207],"helpful":[216],"delaying":[218],"leading":[223],"THR":[225],"based":[226],"on":[227],"patients":[234],"18":[236],"months":[237],"follow":[238],"up.":[239]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-10-27T00:00:00"}