A Answers (2)
The goal in treating avascular necrosis (osteonecrosis) is to improve the use of your hip, stop further damage to the bone, and ensure bone and joint survival. Usually, doctors begin with nonsurgical treatments to relieve pain. In the long term, most people with osteonecrosis will eventually need surgery.
NewYork-Presbyterian Hospital answered
Avascular necrosis is the death of bone tissue due to a lack of blood supply. This can lead to tiny breaks in the bone and the bone's eventual collapse. Avascular necrosis most often affects the head of the thighbone (femur), but it may also affect other bones. Treatment includes:
- Core decompression, a procedure in which a surgeon percutaneously removes part of the inner layer of the bone.
- Injection of one's own harvested bone marrow stem cells, along with demineralized bone matrix.
- Injection of parathyroid hormone – PTH (1-34) followed by biphosphonates.