A devastating disease of hip, its causes, and management protocol

1. Avascular Necrosis – Femoral Head A practical approach Vinod Naneria Girish Yeotikar Arjun Wadhwani

8. Bilateral Cystic changes With patchy sclerosis

13. Early

14. Late

18. Association Research Circulation Osseous quantification

19. Relationship with weight bearing dome

20. Japanese Investigation Committee Type 1 – Line of Demarcation In relation to Wt.bearing Type 2- Partial Collapse Type 3 Cyst A- central B peripheral

21. Kerboul:- combined necrotic angle – AP LAT

39. Summaries of cases with head preservation by free fibula grafting

40. Firoza 35 f post delivery 1992

41. Firoza 35 f post delivery pelvis July 2000

42. Kanti 35 f post delivery AVN 1988

43. Kanti 35 f post delivery AVN July 2000

44. Upadhyay rt hip

45. Upadhyay

46. Upadhayay after one year

47. Bharat post posterior dislocation

48. Bharat after one year

49. Jakir post cortisone cystic lesion

50. Jakir after fibula grafting

51. Rajendra

52. Fibula grafting

53. Romi varma

54. MRI-Romi

56. After 6 months

57. After one year

58. Shyamlal

59. Bilateral grafting

60. Ashok 2001

61. Pre OP Post OP

63. Chandu Chandu Rane 1 / 2003 Chandu Rane 12 / 2003

64. Kamal 30 m

65. Deep chand 3 yrs PO

66. Kamal Kishor 35 M AVN 1983 Osteotomy

67. Kamal Kishor 35 M AVN 1989 1983

68. Kamal Kishor Aug.2000

69. Rekha 30 f post delivery left hip 1985

70. Rekha 30 f post delivery left hip 1989

71. Manoj- a 22 male took cortisone for weight gain and developed bilateral AVN. A varus osteotomy was done in 1997 on one side and core decompression on other side 2005 – came for removal of implants 1997 2000 2005 Osteotomy

72. Archna 22 f CRF transplanted sept 2000

73. Archna 22 f CRF transplanted sept 2000 left hip free fibula grafting

74. Archna 22 f CRF transplanted Sept 2000 rt.hip AM Prosthesis

76. After 2 years

77. Rajesh 28 M CRF Transplant rt.hip AVN

78. Rajesh 28 M CRF Transplant rt.hip AVN core decompression FU 2/12 Nov 2000

79. Core decompression failed

82. Modi 50 M CRF transplant left hip 1997

83. Modi 50 M CRF transplant left hip 1997

84. Modi 50 M CRF transplant left hip 1997

85. Modi 50 M CRF transplant left hip core decompression 3 years post op oct 2000

87. Krishna

88. Krishna 35 f

91. Malakar post alcohol AVN Bil THR 1991

92. Malakar post alcohol AVN Bil THR 9 year postop Nov 2000

93. Bhumika 19 yrs

94. Bhumika – Non Cemented THR

96. Thank You The End Of AVN Story