Hiren Patel - Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA
Atul Kamath - Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA

Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T۱-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial protected weight bearing treatment. We present a case of a ۴۸-year-old male with SIFFH who was treated with core hip decompression and bone void filler as a hip-preserving alternative to THA. The patient has an excellent clinical and radiographic result at final follow up. Core hip decompression with bone void filler is a less invasive alternative to THA, and may be a preferred initial treatment strategy for SIFFH in the young and active patient who has failed conservative measures.

FEMORAL HEAD INSUFFICIENCY FRACTURE TREATED WITH BONE VOID SUPPORT