AVASCULAR NECROSIS

Avascular necrosis is defined as the localized death of cells in the bone due to lack of blood supply to it. It results in weakening or collapse of the bone.

It is also called osteonecrosis or ischemic bone necrosis and most commonly occurs in the hip. The other common sites include shoulders, knees and ankles.

CAUSES

• Idiopathic (unknown)
• Bone fractures
• Joint dislocations
• Steroids
• Alcohol abuse
• Smoking
• Radiotherapy or chemotherapy
• autoimmune diseases

INVESTIGATIONS

• X-rays
• CT Scan
• Bone scintigraphy
• MRI

SYMPTOMS

• Joint stiffness
• Pain in the groin or thigh
• Swelling of the joint
• Popping noise of the joint
• Increased joint pain in rainy season

INVESTIGATIONS

• X-rays
• CT Scan
• MRI

TREATMENT

NON-SURGICAL

Management & treating of underlying cause of avascular necrosis to minimize progression of disease

• Medications
• Exercises
• Rest

SURGICAL

Joint-preservation operations: These procedures are done in early avascular necrosis of the hip to improve blood supply to the affected bone

• Core Decompression and bone grafting
• Core Decompression and bone marrow injection
• Vascularised bone grafting

Joint Replacement: Done in advanced stages where bones are collapsed and arthritis is evident

About Doctor:

Dr.KHALEELULLAH is a renowned gold medal award-winning Orthopaedician in Hyderabad. He has got extensive experience of more than 15 years and positioned himself as the best orthopedic surgeon in Telangana and Andhra Pradesh. He worked for nearly 8 years in the prestigious Nizams Institute of Medical Sciences(NIMS), Hyderabad where he acquired vast skills and knowledge about managing complicated orthopedic problems. He proved himself as the right Ortho Surgeon with MCH specialization with his deep interest in the area of joint reconstruction surgeries.