Hip osteonecrosis, also known as avascular necrosis, is a severe condition that can result in pain, stiffness, and the collapse of the hip joint. Reduced blood flow to the bone leads to the death of bone cells, causing considerable discomfort. If conservative treatments no longer provide relief, surgical intervention may be necessary.
Dr. Alexander S. McLawhorn, serving patients in New York, NY, and Stamford, CT, specializes in advanced surgical techniques for hip osteonecrosis. Performing over 600 joint replacements annually, Dr. McLawhorn is recognized as a top surgeon in New York State. With extensive training from HSS and as the Director of Research and Innovation for the Adult Reconstruction and Joint Replacement Service, he offers cutting-edge, individualized care tailored to active adults’ needs.
What is Hip Osteonecrosis?
Hip osteonecrosis develops when the femoral head, the ball of the hip joint, doesn’t receive enough blood supply. This reduced blood flow gradually weakens the bone, which can eventually collapse, resulting in arthritis and intense joint pain. Because the condition can advance quickly, early diagnosis and treatment are essential.
Symptoms of hip osteonecrosis can include pain in the groin, thigh, or buttock, particularly when putting weight on the affected hip. As the condition worsens, the pain may become more constant, and mobility can be significantly impaired. Risk factors for developing hip osteonecrosis include steroid use, excessive alcohol consumption, trauma, and certain medical conditions like lupus or sickle cell disease.
When Surgery Becomes Necessary
In the initial stages of hip osteonecrosis, non-surgical treatments such as medications, physical therapy, and lifestyle modifications might help manage symptoms. However, when these treatments fail to stop the progression of the disease, surgery is often recommended.
Here are the main surgical options available:
- Core Decompression: This procedure involves removing a portion of the inner bone to reduce pressure, improve blood flow, and encourage healing. Core decompression is typically used in the early stages of hip osteonecrosis when the bone has not yet collapsed.
- Osteotomy: An osteotomy might be recommended in cases where the bone has started to deteriorate but has not completely collapsed. This procedure involves cutting and reshaping the bone to shift weight away from the damaged area, which can prolong the life of the hip joint and delay the need for a total hip replacement.
- Total Hip Replacement: When hip osteonecrosis progresses to the stage where the joint is severely damaged or has collapsed, total hip replacement often becomes the most effective treatment option. This surgery involves removing the damaged bone and cartilage and replacing them with artificial components. Dr. McLawhorn is an expert in minimally invasive hip replacement techniques, which are designed to shorten recovery time and enhance patient outcomes.
Find Relief in New York, NY, or Stamford, CT
Don’t let hip osteonecrosis progress—early intervention is crucial for maintaining your quality of life. Dr. McLawhorn and his team are here to help you explore your surgical options. If you’re in New York, NY, contact us at 212-606-1065 to schedule a consultation. For those in Stamford, CT, reach out at 203-705-2113. Take the first step toward pain relief and restored mobility today.
