Device-assisted surgical treatment of avascular necrosis of the femoral head: Innovative approaches and clinical effectiveness
1 Head of the Department of Traumatology and Orthopedics, Sports Medicine. TOO Clinic "CITYMED" Shymkent, Republic of Kazakhstan,
2 Head of the Department of Orthopedics. Tashkent Medical Academy Multidisciplinary Clinic Tashkent, Republic of Uzbekistan, Doctor of Medical Sciences,
Research Article
World Journal of Biology Pharmacy and Health Sciences, 2024, 20(03), 652-657.
Article DOI: 10.30574/wjbphs.2024.20.3.1013
Publication history:
Received on 26 November 2024; revised on 21 December 2024; accepted on 23 December 2024
Abstract:
Avascular necrosis (AVN) of the femoral head is a debilitating condition predominantly affecting young, active individuals. Traditional surgical approaches such as total hip arthroplasty (THA) face limitations due to prosthetic lifespan and functional restrictions. This study evaluates the clinical efficacy of an innovative device-assisted surgical technique designed to restore femoral head integrity, reduce pain, and improve function.
Objective: To assess the outcomes of a minimally invasive surgical protocol combining core decompression, vascularized bone grafting, and dynamic external fixation in patients with ARCO stage II–III AVN.
Methods: A prospective cohort study was conducted, including 150 patients aged 20–60 years with ARCO stage II–III AVN. The surgical technique involved core decompression, necrotic tissue resection, vascularized bone grafting, and dynamic external fixation. Outcomes were evaluated through pain reduction (VAS), functional improvement (HHS), radiological healing, and complications over a follow-up of 36 ± 6 months. Data were analyzed using SPSS (version 26.0).
Results: Pain scores improved significantly from 8.2 ± 1.1 to 2.4 ± 0.7 (p < 0.001). Harris Hip Scores increased from 42.5 ± 8.7 to 87.4 ± 5.2 (p < 0.001). Radiological analysis showed complete healing in 74% and partial restoration in 20%. Complications were minimal, with only 10% experiencing minor pin-site infections.
Conclusion: The proposed surgical technique is a promising alternative for managing AVN, demonstrating significant pain relief, functional recovery, and structural restoration. Its low complication rate and cost-effectiveness make it an attractive option for younger, active patients.
Keywords:
Avascular necrosis; Device-assisted surgery; Core decompression; Vascularized bone grafting; External fixation.
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Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0