The Journal of Arthroplasty, RESEARCH COMMITTEE UPDATE| VOLUME 21, ISSUE 2, P304, FEBRUARY 01, 2006

AAHKS Membership Survey Results: Current Treatment Practices of Members of AAHKS for the Treatment of Osteonecrosis of the Adult Femoral Head

Brian J. McGrory, MD Sally York, MN, RNC Richard Iorio, MD William Macaulay, MD Richard R. Pelker, MD

Hip

A standardized protocol for evaluating and treating osteonecrosis (ON) of the adult femoral head does not currently exist in the United States, despite continued scientific investigation and the introduction of new treatments and surgical techniques. To understand current treatment practices, a survey was mailed to the active members of the American Association of Hip and Knee Surgeons. The rate of response of 54% establishes a 95% ± 5% confidence level, and the survey provides orthopedic surgeons with a compilation of responses that may ultimately serve as a foundation for a standard evaluation and treatment protocol for adult ON of the hip. Total hip arthroplasty is the most popular intervention for post-collapse (crescent sign and progressive) stages of ON; core decompression is the most commonly offered treatment for symptomatic pre-collapse ON.

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