Avascular necrosis or osteonecrosis is the death of a segment of bone due to loss of blood supply. Both bone cells are the bone marrow are affected. AVN is a common cause of hip pain in young and middle aged patients between 35-50 years of age. It occurs more in males. AVN leads to severe degenerative arthritis of the hip joint and accounts for 10% of total hip replacement cases in the United States.… Read the rest “Avascular Necrosis AVN by Dr. Nabil Ebraheim”
Information obtained by Vicky Marlow Updated 6/15/08
Why Indian Surgeons Have Better Results with Hip Resurfacing AVN Patients
The longest follow-up has been 7 1/2 yrs and a lot of patients have crossed 5 yrs.I am not the only one who is having a good result with AVN.Prof Yoo from Korea has not had a single failure yet for AVN resurfacing. The same goes for Dr. Sugano from Osaka, Japan.The 3 of us together have done more than 1,000 resurfacings for AVN.AVN is… Read the rest “AVN and Hip Resurfacing by Dr. V.C. Bose and Dr. Paspati”
Story provided by Vicky Marlow
Dr. Bose explains why a female patient with advanced AVN was not able to receive a hip resurfacing.
During the surgery there was a large AVN lesion up to half of the femoral head. In spite of this we tried all the tricks in the book to do a resurfacing. The head neck junction was involved and the residual bone was chalk like and soft. These features made a resurfacing impossible. Since the head–neck junction was involved a BMHR was also not feasible. Therefore I used a stem with an anatomical head metal on metal