Comparison of Core Decompression and Fibular Strut Graft in Early Avascular Necrosis of the Hip: Assessment of Postoperative Pain and Functional Outcomes

Core decompression was associated with fewer patients experiencing significant postoperative pain and showed a trend toward better short-term functional outcomes compared to fibular strut grafting. Its minimally invasive nature may make it a preferable option for early pain management in patients with early-stage AVN of the hip. However, the lack of statistical significance and the short follow-up period warrant further studies with larger sample sizes and inclusion of long-term functional and radiological outcomes before definitive clinical recommendations can be made.