Avascular necrosis of the hip is a condition where the blood supply to the hip joint is compromised which in turn causes secondary osteoarthritis of the hip joint. Symptoms being pain and restriction of movements and stiffness of the hip. Unfortunately this condition affects the patients of younger and middle age groups. Total hip replacement is the treatment of choice of secondary osteoarthritis of the hip. We undertake an innovative procedure.
Core Decompression with stem cell therapy and cancellous bone grafting
It is advocated to improve the function of the joint, to give pain relief and to delay the need for joint replacement.
Through a mini -incision, drilling of the head of the femur bone is done through the drill hole to decompress the hip joint. Simultaneously 60ml bone marrow is aspirated from the hip bone. The bone marrow is concentrated to obtain stem cell and growth factors; this is mixed with clotting gel and is injected into the hip joint after the decompression along the drill hole established. Cancellous bone graft is harvested from the iliac crest and is filled into the drill hole. This procedure requires hospitalization of two days. Post operatively patient needs to walk partial weight bearing on the operated site for 6 weeks with a walker support followed by full weight bearing later on.