The goal of avascular necrosis treatment is to improve function or to stop further damage to the affected bone or joint. Treatments are necessary to keep joints from breaking down, and may include:
Arthroplasty (total joint replacement): Arthroplasty is a surgical procedure to remove and replace an arthritic or damaged joint with an artificial joint. This procedure may be considered only after other treatment options have failed to provide adequate relief from pain or disability.
Prodromos Ververeli, MD, is one of the leading orthopedic surgeons in the region, performing more than 600 joint replacements a year. He speaks to how gratifying it is to see patients who were in wheelchairs before surgery, able to walk unaided after knee or hip replacement.
Bone graft: A bone graft, or bone transplant, is a surgical procedure in which a section of healthy bone is taken from another part of your body and grafted into the affected area to help provide more stability.
Osteotomy: An osteotomy is a surgical procedure to reshape the bone and reduce stress on the affected area. It involves the realigning or correction of a deformed joint by cutting and resetting the bone to place stress on healthy areas of the joint. The bone then heals in a better position, easing the burden on the damaged parts.
Specific treatment for avascular necrosis will be determined by your physician based on:
- Your age, overall health and medical history
- Extent of the disease
- Location and amount of bone affected
- Underlying cause of the disease
- Your tolerance for specific medications, procedures or therapies
- Expectations for the course of the disease
- Your opinion or preference