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Hip Core Decompression and Bone Grafting for Avascular Necrosis

by Dr Potla Sivaiah February 28, 2023
written by Dr Potla Sivaiah February 28, 2023
Hip Core Decompression and Bone Grafting for Avascular Necrosis

Hip core decompression and bone grafting is a surgical procedure used to treat avascular necrosis (AVN) of the hip joint. AVN occurs when the blood supply to the femoral head (the ball-shaped top of the thigh bone) is disrupted, leading to the death of bone tissue.

Hip core decompression involves drilling one or more small holes into the femoral head to relieve pressure and improve blood flow to the affected area. Bone grafting is then performed, where healthy bone tissue is taken from another part of the body and transplanted into the hole(s) created during core decompression. This helps to promote the growth of new bone tissue and prevent further collapse of the femoral head.

The procedure is typically performed under general anesthesia and may require a short hospital stay. Recovery time varies, but patients are typically advised to avoid weight-bearing activities for several weeks after surgery and undergo physical therapy to regain strength and mobility in the affected hip joint.

Hip core decompression and bone grafting is a relatively low-risk procedure and has a high success rate in relieving pain and preventing further joint damage in patients with early-stage AVN. However, it may not be effective in more advanced cases where significant bone loss has occurred. It’s important to consult an expert #orthopaedicsurgeon to determine if hip core decompression and bone grafting is the appropriate treatment option for your specific condition.

Like any surgical procedure, Hip Core decompression has both potential benefits and risks.

PROS:

  1. Relieves pain: Hip core decompression can be effective in relieving pain caused by AVN, especially in the early stages of the disease.
  2. Prevents further joint damage: The procedure can help to prevent further joint damage by promoting the growth of new bone tissue and reducing the risk of bone collapse.
  3. Low risk: Hip core decompression is a relatively low-risk procedure with a high success rate in early-stage AVN.
  4. Short recovery time: Most patients can resume normal activities within a few weeks after the procedure.

CONS:

  1. Limited effectiveness: Hip core decompression may not be effective in more advanced cases of AVN where significant bone loss has occurred.
  2. Risk of infection: Like any surgical procedure, there is a risk of infection at the site of the surgery.
  3. Nerve damage: There is a small risk of nerve damage during the procedure, which can lead to weakness or numbness in the affected leg.
  4. Blood clots: Surgery carries a risk of blood clots, which can be dangerous if they travel to the lungs.
  5. Limited mobility during recovery: Patients may need to limit weight-bearing activities and undergo physical therapy during the recovery period, which can be challenging for some individuals.

Overall, hip core decompression is a safe and effective treatment option for many patients with early-stage AVN of the hip joint. However, as with any medical procedure, it’s important to discuss the potential risks and benefits with your #orthopaedicsurgeon to determine if it’s the best treatment option for your individual condition.

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Dr Potla Sivaiah

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