A member asked:

My son-27 yrs. diagonsed with bilateral avescular necrosis stage 2-3.doctor's advice : total hip replacement.is there any way to avoid thr.

6 doctors weighed in across 2 answers
Dr. Jonathan Clabeaux answered

Specializes in Orthopedic Reconstructive Surgery

AVN: It really depends on if there is collapse of the femoral head. If the femoral head has already collapsed it is too late and he will require hip replacement. If it has not collapsed there are some options but the success of the options is not great. One surgical option is core decompression which has less than a 50% chance of success, bisphosphonates (fosamax) may help with limited success.

Answered 7/14/2013

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No: If you are being told stage 2-3, there is already some evidence of collapse, and therefore hip replacement will be inevitable.

Answered 11/28/2013

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