Minimally invasive core decompression and hip distraction for treatment in Perthes disease

Core decompression and hip distraction are surgical procedures used for the treatment of conditions like Perthes disease. This condition is characterized by disruption of blood supply to the hip causing death or collapse of the femoral head.

Core Decompression

This is a minimally invasive percutaneous surgical procedure involving recovery of the femoral head. In this procedure, the recovery is stimulated by removing the dead femoral head and allowing the formation of a new bone. The dead fibrous tissues surrounding the bone are also removed and sometimes protein stimulators may be given to increase the growth of the new bone. This treatment is usually used in the initial stages of the disease.

Distraction of the Hip

This surgery involves distracting the hip joint (ball and socket joint of the hip) to divert pressure from the femoral bone. This distraction is done with the help of external fixators which distract the joint without hindering the range of motion and weight- bearing ability. Distraction can also be performed in combination with core decompression if required.