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Neck of femur fracture
Is xray mai avn stat ho chuka hai , can you suggest me 🙏. Before two days screw removal surgery was performed in which 1 screw couldn't be removed.what can I do now?
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Screw must be integrated into bone. No worries it can be left there without further harm.
For AVN consult Orthopedic Joint surgeon.
Next Steps
Consult Orthopedic Surgeon with joint replacement speciality
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This occasionally happens if:
The screw is integrated into bone
There is risk of excess bone loss or fracture during forceful removal
Donât panic â if the screw is not causing pain, infection, or movement restriction, it can be left in place safely, and removed during future surgeries.
Before going for hip replacement, biological treatments like stem cell therapy can be considered â especially if:
-You're young (usually
Next Steps
Visit to orthopedic surgeon for evaluation; get MRI done
Health Tips
Get a consultation with Orthopedic surgeon who does stem cell & core decompression.
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The fracture Neck of femur has united but femoral head has gone in AVN.
Right now the surface irregularities is not much,so better to do an MRI to determine the grade of AVN,if its still grade 2,a relatively minor procedure like core decompression can be done,if grade 3 then will have to go ahead with hemiarthroplasty considering your age.
Also in future you might need THR(total hip replacement).
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Hip avn is seen in the X-rays
Next step would be to get THR surgery done(total Hip Replacement )
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Avn is there
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Dr. Omkar J S
Orthopedic surgeon
7 yrs exp
Pune
There are signs of Avascular Necrosis (AVN) on the X-rays, although the articular surfaces do not appear to be significantly damaged. If there is no evidence of infection, there is no immediate need to remove the remaining screw at this stage.
The management of AVN depends primarily on the severity of symptoms, including pain and limitations in daily activities.
If the symptoms are severe enough to interfere with daily functioning or professional work, the ideal treatment would be Total Hip Replacement (THR).
It is important to remember that a THR prosthesis has a limited lifespan, typically ranging from 15 to 25 years, depending on usage, prosthesis material, and lifestyle. A revision surgery may be required in the future.
However, if the symptoms are mild and not significantly troublesome, a conservative approach—including medication, lifestyle modification, and physiotherapy—can help manage the condition and delay the need for surgery by several months or even years.
Next Steps
MRI Both Hips for grading and staging of AVN
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.