Treatment of avascular necrosis of the femoral head

• Non-surgical treatment

  If the size of the necrosis is small and it is not serious, medication treatment is applied first followed by observing the effect.

• Surgical treatment

  If avascular necrosis of the femoral head has already occurred, the best treatment is surgery. If detected at an early stage, it can be treated with bone grafts or rotational osteotomy as well as decompression surgery to help blood circulation with a hole in the femoral head.

  Central decompression surgery
  It is a method to reduce pressure in the bone by drilling one or several holes in the femoral head and to supply nutrients to the hip joint, helping create new blood vessels. It can be expected to be effective in preventing the collapse of the femoral head or the progression of arthritis.

  Artificial Hip Surgery
  It is to replace damaged cartilage and bone with an artificial hip joint. It provides an effective treatment to patients along with pain relief and 90-95% of functional recovery.

Treatment of degenerative arthritis of the hip

• Conservative Treatment

  In the early stage, doctors apply anti-inflammatory agent, exercise therapy, or injection therapy. The effect of conservative treatment is to reduce pain caused by degenerative changes in the joint cartilage, to keep the joint functioning and to prevent it from being deformed.

• Surgical Treatment

  Depending on the degree of damage to the hip joint, the surgery can be different. In the early stage, a surgeon can help relieve pain by trimming the damaged cartilage through arthroscopy.

  Pelvic Osteotomy
  Osteotomy changes the position of femoral head or acetabulum to help expand the weight bearing area or relocates a weight bearing surface to the relatively healthy joint cartilage so that pain can be alleviated, deformation corrected, and progression of degenerative changes prevented or slowed down.

  Hip Arthroplasty
  The artificial hip joint consists of a femur (stem) that is placed like a column in the femur and an acetabular cup (cup) that is placed into the pelvis (acetabulum). Both the stem and cup are made of metal. Between the stem column and cup is a joint surface made, which is a plastic, ceramic or metal spacer. A long lifespan can be expected thanks to the development of the joint surface and surgical techniques.

Treatment of hip fractures

If the hip joint is fractured, fracture fixation can be considered first. Fracture fixation is to connect broken bones with an iron core made of special metal. It takes time for the bone to completely be attached, but it will eventually return to normal after recovered from the surgery.

• Femoral neck fracture

  If the neck of the femur is broken, several screws are inserted to fix it or artificial hip arthroplasty is performed.

• Intertrochanteric fracture of the femur

  If the bone breaks into several pieces in the line connecting the two upper protrusions of the thigh, a surgeon fixes the fractured bones with a metal screw.