Necrosis avascular diagnostico y tratamiento mayo clinic. Femoral neck frac ture is the main complication after resurfacing hip arthroplasty. Coverage rationale core decompression is proven and medically necessary for treating early precollapse stage. Early treatment of avascular necrosis in systemic lupus. Fast forward 8 months later she had avascular necrosis and total hip collapse. Avascular necrosis avn is a disease where there is cellular death of bone component due to interruption of the blood supply. By clinica san francisco updated about 6 years ago. Avascular necrosis is the death of bone tissue due to a lack of blood supply. Long term followup of thorough debridement and cancellous bone grafting of the femoral head for avascular necrosis. Las opciones quirurgicas pueden incluir descompresion basica, remodelacion osea, osteotomia, injerto oseo o reemplazo articular artroplastia. Coverage rationale core decompression is proven and medically necessary for treating early precollapse stage i and ii avascular necrosis of the femoral head.
In a retrospective analysis of 185 patients with systemic lupus erythematosus sle 7% were found to have avn. Medlineplus en espanol tambien contiene enlaces a sitios web no gubernamentales. Nowadays, the most usual treatment for osteonecrosis of femoral head is the total hip arthroplasty, that. Non traumatic avascular necrosis of the femoral head. One of the most common reasons for secondary avascular necrosis is prolonged systemic steroid use in high doses equivalent to 4000 mg of prednisone for extended periods of up to 3 months, or longer. Avascular necrosis avn of the hips is associated with significant disability, and the majority of established cases require major surgery. For the state of tennessee, refer to the medical policy titled core decompression for avascular necrosis for tennessee only. Pdf avascular necrosis of the femoral head in hiv infected. Our response is not formal legal advice and does not create an attorneyclient relationship. The effect of other factors like bone necrosis due to cement is unknown. Is the school or local hospital liable for any of this. It is a disease resulting from the temporary or permanent loss of the blood supply to the bone. Inicialmente, deben realizarse radiografias simples. All the other forms of this disease are secondary 28.