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Core Decompression Surgery pdf | Shri Ramchandra Joint Relacement Centre in Guntur | Vijayawada | Prakasam | AP | Indi

Shri Ramchandra Joint Relacement Centre a.k.a Happy-Hosputals is the best joint replacement center in Guntur,<br>also providing their services in major hoapitals in Vijayawada, Prakasam,in Andhrapradesh India with strong focus on knee joint replacement, <br>hip joint replacement, shoulder joint replacement, elbow joint replacement imbibing quality, compassion and tender-loving-care.<br>

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Core Decompression Surgery pdf | Shri Ramchandra Joint Relacement Centre in Guntur | Vijayawada | Prakasam | AP | Indi

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  1. AlthoughnonsurgicaltreatmentoptionslikemedicationsorusingcrutchescanrelieveAlthoughnonsurgicaltreatmentoptionslikemedicationsorusingcrutchescanrelieve painandslowtheprogressionofthedisease,themostsuccessfultreatmentoptionsare surgical.Patientswithosteonecrosisthatiscaughtintheveryearlystages(priorto femoralheadcollapse)aregoodcandidatesforhippreservingprocedures. CoreDecompression Thisprocedureinvolvesdrillingonelargerholeorseveralsmallerholesintothefemoral headtorelievepressureintheboneandcreatechannelsfornewbloodvesselsto nourishtheaffectedareasofthehip. Whenosteonecrosisofthehipisdiagnosedearly,coredecompressionisoften successfulinpreventingcollapseofthefemoralheadandthedevelopmentofarthritis. Coredecompressionisoftencombinedwithbonegraftingtohelpregeneratehealthy boneandsupportcartilageatthehipjoint.Abonegraftishealthybonetissuethatis transplantedtoanareaofthebodywhereitisneeded. Manybonegraftoptionsareavailabletoday.Thestandardtechniqueistotakeextra bonefromonepartofyourbody(harvest)andmove(graft)ittoanotherpartofyour body.Thistypeofgraftiscalledanautograft. Manysurgeonsusebonethatisharvestedfromadonororcadaver.Thistypeofgraftis typicallyacquiredthroughabonebank.Likeotherorgans,bonecanbedonatedupon death.Therearealsoseveralsyntheticbonegraftsavailabletoday. Outcomes Coredecompressionpreventsosteonecrosisfromprogressingtoseverearthritisandthe needforhipreplacementin25%to85%ofcases.Thisdependsuponthestageandsize oftheosteonecrosisatthetimeoftheprocedure. Coredecompressionachievesthebestresultswhenosteonecrosisisdiagnosedinits earlystages,beforethebonecollapses.Inmanyofthesecases,thebonehealsand regainsitsbloodsupplyaftercoredecompression.Ittakesafewmonthsfortheboneto heal,andduringthistime,awalkerorcrutcheswillbeneededtopreventputtingstress onthedamagedbone. Patientswithsuccessfulcoredecompressionprocedurestypicallyreturntowalking unassistedinabout3monthsandhavecompletepainrelief. Whenosteonecrosisisdiagnosedaftercollapseofthebone,coredecompressionisnot usuallysuccessfulinpreventingfurthercollapse.Inthissituation,thepatientisbest treatedwithatotalhipreplacement,whichrelievespainandrestoresfunctionin90%to 95%ofpatients.

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