1. Avascular necrosis of hip joint
Biological treatment in India
Regenerative medicine
Dr.A.K.Venkatachalam, FRCS, M.Ch Orth,
MS Orth, DNB Orth
www.hipsurgery.in

2. Avascular necrosis of hip joint
• Incidence- 1 in 20,000 individuals
• Affects age group- 20-50
• Bilateral involvement in majority
• Causes is mostly unknown. Other causes
include steroid intake, alcoholism, rare blood
diseases, storage disorders etc
• Progressive disease leads to crippling if left
untreated.
www.hipsurgery.in

3. Avascular necrosis of hip joint
Treatment options
• Wait and watch- doesn’t work
• Bisphosphonates- prevent reabsorption of
dead bone but dead bone still remains in the
head
• Core decompression
• Regenerative medicine options.
• Hip replacement and its alternatives
www.hipsurgery.in

4. Avascular necrosis of hip
joint
Preparation for harvesting cells
www.hipsurgery.in

5. Avascular necrosis hip
joint
Preparation of bone graft
www.hipsurgery.in

6. Avascular necrosis of hip
joint
Procedure completed
www.hipsurgery.in

7. DR.A.K.VENKATACHALAM
MS ORTH, DNB ORTH, FRCS, M.CH ORTH
CONSULTANT ORTHOPAEDIC SURGEON,
CHENNAI, INDIA
www.hipsurgery.in
www.hipsurgery.in