Avascular Necrosis (AVN) Treatment

Dr. Abhay Chhallani, provides treatment for Avascular Necrosis (AVN), also known as osteonecrosis. AVN is a condition where bone death occurs due to inadequate blood supply, often resulting from factors like fractures, joint dislocations, chronic high-dose steroid use, and heavy alcohol consumption. The most commonly affected joint is the hip, but it can also affect the knee and shoulder.

Treatment for AVN aims to prevent further bone loss and varies depending on the extent of bone damage. Here are the treatment options, including both conservative and surgical approaches:

Conservative Treatment:

  • Medications: Dr. Abhay Chhallani may prescribe non-steroidal anti-inflammatory drugs (NSAIDs) to manage pain and swelling.
  • Rest: Restricting physical activities and using crutches to reduce weight-bearing on the affected joint can help alleviate symptoms.
  • Exercises: Regular exercises to improve joint range of motion may be recommended to maintain joint function. Surgical Treatment:
  • Core Decompression: This procedure involves removing a portion of the inner layer of the bone to relieve pressure inside the bone. It can reduce pain and stimulate new blood vessel growth, promoting new bone growth.
  • Bone Grafting: In cases where the bone damage is extensive, healthy vascularized bone from another part of the patient’s body is transplanted into the affected area to support the regeneration of the bone.
  • Bone Reshaping (Osteotomy): This procedure is typically performed in advanced stages of AVN and involves reshaping the bone to reduce stress on the affected area.
  • Joint Replacement: Joint replacement surgery is considered a last resort when the bone has collapsed and is no longer viable. During this procedure, the affected joint is replaced with an artificial joint (prosthesis) to restore function.

Patients should consult with Dr. Abhay Chhallani to determine the most appropriate treatment based on the stage and location of their AVN. Early diagnosis and treatment can help manage symptoms, preserve joint function, and improve the patient’s quality of life.