Asked for Male | 23 Years
avascular necrosis stage 3 treatment?
Patient's Query
My brother is 23 years old and he suffered from covid before 9 months and he had pain in hip joint and legs so we did mri and the reports said AVN in hip joint 2-3 stage so they suggested surgery to drill in bone to start the blood flow as before . I want to know the percentage of success and how operation will take place
Answered by Dr. Deepak Aher
Hello sir, stage 2 needs drilling operation but stage 3 won't help with drilling . It needs replacement. Drilling has about 60 percent sucess rate and replacement more than 99 percent

Orthopedist
Answered by Dr. Rufus Vasanth Raj
Core decompression is a common procedure done for AVN hip. It can be tried upto Stage 2A. There is nothing wrong in trying core decompression with BMAC. Success rate is pretty decent. If it fails we can always do a Total Hip Replacement any time.
Current Total Hip Replacement prosthesis have a good longevity. So can keep it as a stable back up option.
Dr Rufus Vasanth Raj

Orthopaedic Surgery
Answered by Dr. Shivanshu Mittal
He definitely requires surgery. Stage 2 is still managed with core decompression and bone grafting. And 3 can either be delayed if painless or proceed ahead with Total hip replacement to avoid multiple surgeries.

Orthopaedic Surgery
Answered by Dr. Deep Chakraborty
We are doing some thing new,,, it's called BMAC , stem cell injection in diseased part of the hip joint. It has huge success rate. Our advice is to try it before any joint replacement is thought of

Orthopaedic Surgery
Answered by Dr. Jagadish Prabhu
management of AVN hip depends on many factors like stage of AVN, age of Pt , activity demand, medical comorbidity, weight of patient etc. He needs core decompression which is very simple procedure. n if no improvement even after 1 Yr or so. or if disease advances he may need THR.

Orthopaedic Surgery
Answered by Dr. Neetu Rathi
Greetings from Rid of Pain Physiotherapymy first advice is don't go for surgery at first. go for Physiotherapy, get some best results.Because after surgery also u need physiotherapy. better u try it on priority basis. u will get result definitely, but if don't get then choose surgical maneuver only

Physiotherapist
Answered by Dr. Sunny Dole
Your Brother is young in early 20s. Core decompression can be done in stage 2. chances of success depending on involvement of Femoral head and collapse. but I would suggest go ahead with core decompression.

Orthopaedic Surgery
Answered by Dr. Utsav Agrawal
At stage 2-3 in young individuals, it is possible to save to original hip joint with the said procedure. percentage of success varies from patient to patient. certain procedures done along with drilling are known to increase the chances of success
feel free to contact for more infoDr Utsav Agrawalorthopaedic and joint replacement surgeon7447799000

Trauma Surgeon
Answered by Dr. velpula sai sirish
he is very young to get the joint replacement surgery so I would suggest to go with the Physiotherapy treatment to strengthen his hip joint muscles in course strengthening exercises to maintain the muscle strength and to relieve the stress from the bone

Physical Medicine And Rehabilitation Specialist For Stroke
Answered by Dr. Hanisha Ramchandani
Acupuncture distal and local points along with Moxibustion and electro stimulation would help a patient dealing with AVN hip pain. Acupuncture helps in increasing the immunity and helps in reducing the after- effect covid symptoms.
Electro acupuncture can also help in increasing the blood flow.
When the needles are inserted in the body, our body releases natural chemicals to fight the illness or symptom. Hence AVN can be treated with acupuncture combined with medical aid to control severe pain in the hip joint.
Acupuncture is a boon in AVN to boost up the response and reduce the recovery time taken by patients. It helps in increasing the increases the overall positivity of the patient as the acupuncture sessions advances patients start feeling better and their overall condition improves to a large extent.

Acupuncturist
Questions & Answers on "Orthopedic" (1302)
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