A case of Hip Pain with suspected Arthritis is evaluated by X Ray of the involved joint – AP and Frog Leg Lateral views. These views can often demonstrate the earliest sectoral sign or narrowing in the weight bearing zone of hip joint.
It is important to assess the etiology of Hip Arthritis; accordingly management plan can be charted.
On first evaluation, such patients are advised to limit activities that may accelerate the progression of arthritis. Ambulation with stick support is also advocated.
In patients with Advanced Hip Arthritis, Patients are counselled regarding the option of performing a Hip Replacement Surgery.
Osteonecrosis of the hip is a painful condition that occurs when the blood supply to the bone is disrupted. Because bone cells die without a blood supply, osteonecrosis can ultimately lead to destruction of the hip joint and arthritis.
Osteonecrosis is also called avascular necrosis or aseptic necrosis. AVN hip can lead to Degenerative Arthritis of Hip Joint necessitating Total Hip Replacement Surgery.
Although it is not always known what causes the lack of blood supply, there are a number of risk factors that can make it more likely for someone to develop the disease:
This procedure involves drilling one larger hole or several smaller holes into the femoral head to relieve pressure in the bone and create channels for new blood vessels to nourish the affected areas of the hip. When osteonecrosis of the hip is diagnosed early, core decompression is often successful in preventing collapse of the femoral head and the development of arthritis.
If osteonecrosis has advanced to femoral head collapse, the most successful treatment is total hip replacement. This procedure involves replacing the damaged cartilage and bone with artificial implants.
Total hip replacement is successful in relieving pain and restoring function in 90 to 95 percent of patients.