Title
Precollapse femoral head avascular necrosis after combined surgical–medical management
Authors
Mahendra Solanki, Abhishek Pal & Swapnil Mathur*
Affiliation
Department of Orthopaedics, MGM Medical College, Indore, Madhya Pradesh, India; *Corresponding author
Mahendra Solanki - E-mail:
drmahendrasolanki@gmail.com
Abhishek Pal - E-mail: abhishek.pal5793@gmail.com
Swapnil Mathur - E-mail: swapnilmathur07@gmail.com
Article Type
Research Article
Date
Received November 15, 2025; Revised December 15, 2025; Accepted December 15, 2025, Published December 15, 2025
Abstract
Avascular necrosis of the femoral head occurs due to loss of blood supply leading to osteocyte death and progression to collapse if not treated early. Hence, we followed 60 patients (80 hips) with precollapse AVN (Modified Ficat–Arlet stage I and IIA) who underwent core decompression with autologous cancellous iliac crest grafting plus a fixed pharmacotherapy protocol for 48 weeks. Harris Hip Score improved serially, with unilateral hips reaching 87.5% and bilateral hips 90% good to excellent outcomes at final follow up and no hip remaining in poor category. Most hips were Stage I and idiopathic was the common etiology and the results support that combined surgical plus medical management gives meaningful short-term functional benefit when started early.
Keywords
Femoral head, Avascular necrosis, Core Decompression, Surgical, Bone Transplantation, Precollapse stage, Harris Hip Score.
Citation
Solanki et al. Bioinformation 21(12): 4654-4658 (2025)
Edited by
P Kangueane
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
