Hello, welcome to my new AVN Campaign page. My passion is to peak and share information about this condition to help raise awareness. I hope you will join me in spreading the word.
Avascular necrosis is a localized death of bone as a result of local injury (trauma), drug side effects, or disease. This is a serious condition because the dead areas of bone do not function normally, are weakened, and can collapse. ... Avascular necrosis is also referred to as aseptic necrosis and osteonecrosis.
Avascular necrosis (AVN), also called osteonecrosis or bone infarction, is death of bone tissue due to interruption of the blood supply. Early on there may be no symptoms. Gradually joint pain may develop which may limit the ability to move. Complications may include collapse of the bone or nearby joint surface. Risk factors include bone fractures, joint dislocations, alcoholism, and the use of high dose steroids. The condition may also occur without any clear reason. The most commonly affected bone is the femur. Other relatively common sites include the upper arm bone, knee, shoulder, and ankle. Diagnosis is typically by medical imaging such as X-ray, CT-scan, or MRI. Rarely biopsy may be used. Treatments may include medication, not walking on the affected leg, stretching, and surgery. Most of the time surgery is eventually required and may include core decompression, osteotomy, bone grafts, or joint replacement. About 15,000 cases occur per year in the United States.People 30 to 50 years old are most commonly affected. Males are more commonly affected than females.
In many cases there is pain and discomfort in a joint which increases over time. While it can affect any bone, about half of cases show multiple sites of damage.
Avascular necrosis primarily affects the joints at the shoulder, knee, and hip. The classical sites are: head of femur, neck of talus and waist of the scaphoid.
Avascular necrosis most commonly affects the ends of long bones such as the femur (the bone extending from the knee joint to the hip joint). Other common sites include the humerus (the bone of the upper arm), knees, shoulders, ankles and the jaw.
When AVN affects the scaphoid bone, it is known as Preiser disease. Another named form of AVN is Köhler disease, which affects the navicular bone of the foot,/ primarily in children.
A variety of methods may be used to treat the most common being the total hip replacement (THR). However, THRs have a number of downsides including long recovery times and short life spans (of the hip joints). THRs are an effective means of treatment in the older population; however, in younger people they may wear out before the end of a person's life. Other techniques such as metal on metal resurfacing may not be suitable in all cases of avascular necrosis; its suitability depends on how much damage has occurred to the femoral head. Bisphosphonates which reduces the rate of bone breakdown may prevent collapse (specifically of the hip) due to AVN.
Other treatments include core decompression, where internal bone pressure is relieved by drilling a hole into the bone, and a living bone chip and an electrical device to stimulate new vascular growth are implanted; and the free vascular fibular graft (FVFG), in which a portion of the fibula, along with its blood supply, is removed and transplanted into the femoral head. A 2012 Cochrane systematic review noted that no clear improvement can be found between people who have had hip core decompression and participate in physical therapy, versus physical therapy alone. More research is need to look into the effectiveness of hip core decompression for people with sickle cell disease. Progression of the disease could possibly be halted by transplanting nucleated cells from bone marrow into avascular necrosis lesions after core decompression, although much further research is needed to establish this technique.
The amount of disability that results from avascular necrosis depends on what part of the bone is affected, how large an area is involved, and how effectively the bone rebuilds itself. The process of bone rebuilding takes place after an injury as well as during normal growth. Normally, bone continuously breaks down and rebuilds—old bone is resorbed and replaced with new bone. The process keeps the skeleton strong and helps it to maintain a balance of minerals. In the course of avascular necrosis, however, the healing process is usually ineffective and the bone tissues break down faster than the body can repair them. If left untreated, the disease progresses, the bone collapses, and the joint surface breaks down, leading to pain and arthritis.
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Which procedure is right for you? Have you spoken to your doctor about the early stages of AVN and how this surgery may be able to help?
Credits for this video is shared publicly for informative purposes on YouTube by: Genius Of Homeopathy
Published on Aug 5, 2017
Visit Patient Education Library for original video at: https://www.ypo.education/orthopaedics/hip/core-decompression-for-avascular-necrosis-of-the-hip-t223/video/
(I do not own any rights to this video or its content via YouTube/PEL
(Photo shows stages III & IV)
Quantification of extent of involvement is necessary for stages I to V:
(I do not own the photo shown on this post pf stages neither any of its content. this is only used for informational and educational purposes only.)
SEE YOUR HEALTH CARE PROFESSIONAL
I was surprised to find my AVN flaring at it's peak so much so, I called my Ortho Surgeon and he let me know that due to my special case of AVN my request for an injection was rejected because according to the surgeon, it would not fix my condition. it was then decided to move forward with the core decompression procedure in hopes to gain relief, slow down or reverse the AVN. My fingers are crossed as I enter into this stage of almost exhausted attempts to save my hip bone. If this doesn't help, the next step is to do a total hip replacement. I hope sharing my journey will help to provoke speaking out to your doctors if you are having pain in the joints, or if you have AVN and you need to know as much as you can to be sure you are receiving the proper care.
Ask questions and don't be intimidated by any doctor. If you are made to feel like you committed a crime when asking your doctor or specialist questions, you need to find a doctor that will . Be sure to look up doctors reviews where patient's have experienced that doctor. If they have less and negative reviews, you may want to move on to another doctor. Be sure to write your review about your doctor, it really helps. I did this and let the doctor know that I saw his reviews, but I waited until my visit was over before I told him so that I could see if what I read from many patients was true. His reviews was greater on his answering questions, being straight up and what to expect and many were satisfied with their joint replacement. I have to say I agree, accept I don't know how the procedure will turn out so, until that happens, then I will give my review on that.
I was told up front that this Core Decompression is a painful procedure and when asked how many months/years did patients not fell any relief come back, the answer I got was about 4 to 5 months later. I felt relaxed knowing the truth although I am not looking to be on crutches as I was told for 12 weeks. I have set up things that I could do to help keep my mind off of any discomfort. It is always good to use your down time to make it work for you. I believe my dancing days will be back before I know it. My faith and those praying for me is just amazing. Having a support system and persons is another sense of relief and calming certainty of being cared for in any time of need.
The videos and photos I will share will hopefully be positive in this negative degenerative bone disease. I hope to share that no matter what, your wellness is in your fight to b well physically, mentally and emotionally. This 2019 will be a challenge of test and strength, but I am up for the challenge to win this one.
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