Lohiya A Jr, Dhaniwala N, Dudhekar U, Goyal S, Patel SK, et al.
Cureus. Date of publication 2023 Dec 14;volume 15(12):e50510.
1. Cureus. 2023 Dec 14;15(12):e50510. doi: 10.7759/cureus.50510. eCollection 2023
Dec.
A Comprehensive Review of Treatment Strategies for Early Avascular Necrosis.
Lohiya A Jr(1), Dhaniwala N(2), Dudhekar U(2), Goyal S(2), Patel SK(3).
Author information:
(1)Department of Orthopaedics and Traumatology, Jawaharlal Nehru Medical
College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.
(2)Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Datta
Meghe Institute of Higher Education & Research, Wardha, IND.
(3)Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe
Institute of Higher Education & Research, Wardha, IND.
Avascular necrosis (AVN), characterised by compromised blood supply leading to
bone necrosis, poses a significant challenge in orthopaedic and rheumatologic
practice. This review comprehensively examines early AVN treatment strategies,
including aetiology and risk factors, clinical presentation, conservative and
surgical approaches, emerging therapies, and rehabilitation. Key findings
underscore the importance of early detection, personalised treatment plans, and
a multidisciplinary approach involving orthopaedic specialists, rheumatologists,
and physical therapists. The implications for clinical practice emphasise
individualised care, staying abreast of emerging therapies, and patient
education. Recommendations for future management strategies highlight the need
for imaging technology advancements, regenerative therapies integration, and
ongoing research into genetic and molecular pathways. As the field continues to
evolve, translating research findings into clinical practice holds promise for
improving outcomes and enhancing the overall quality of life for individuals
affected by AVN.
Copyright © 2023, Lohiya et al.
DOI: 10.7759/cureus.50510
PMCID: PMC10788237
PMID: 38226130
Conflict of interest statement: The authors have declared that no competing
interests exist.
