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Assessment of the interventional outcome of non-traumatic avascular necrosis head of femur in young age group with core decompression with fibular bone grafting

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Original Article

Author Details : Gopinath G, Mahendhira Varman. J*, F Abdul Khader, T Sundararajan

Volume : 7, Issue : 1, Year : 2021

Article Page : 73-82

https://doi.org/10.18231/j.ijos.2021.012

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Abstract

Objective: Assessing the intervention outcome of non-traumatic avascular necrosis head of femur in young age group (Core Decompression with Fibular Bone Grafting).
Materials and Methods: Random prospective study on in young age group patients affected with avascular necrosis head of femur, admitted to in the Department of Orthopaedics in Tertiary care hospital.
The study period was from March 2016 to March 2019 with total number of 32 patients. All patients underwent the intervention surgery followed with 4 weeks, 8 weeks, 12 weeks, 6 months and 12 months follow ups for assessing the intervention outcome.
Results: There weren’t much difference in both the duration of surgery and hospital stay. After 12 months follow ups following treatment, 31 cases had no pain or evidence of progression but in one patient the lesion had progressed with collapse of the infarcted segment and enlargement of the lesion within 12 months following the intervention surgery. The patient was subsequently treated with total hip arthroplasty.
None of the other 31 cases needed another operation.
Conclusion: Non-traumatic avascular necrosis of the femoral head affects younger and working age group which leads to morbidity and functional disability. With combination of surgical intervention we aim to prevent the collapse of head of femur and provide a better management of preserving the hip in the early stages itself and comparative cheaper than hip replacement surgery.

Keywords: AVN, Osteonecrosis, Core decompression, Avascular necrosis.

How to cite : Gopinath G, Mahendhira Varman. J, Khader F A , Sundararajan T , Assessment of the interventional outcome of non-traumatic avascular necrosis head of femur in young age group with core decompression with fibular bone grafting. Indian J Orthop Surg 2021;7(1):73-82

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