Authors : Badhra Ajit Nair; Hamlin Joseph Antony; Manjima Sunil; Emil Siju Kuriakose

Volume/Issue : Volume 11 - 2026, Issue 2 - February

Google Scholar : https://tinyurl.com/3ajssf8v

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DOI : https://doi.org/10.38124/ijisrt/26feb527

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Abstract : Avascular necrosis (AVN) is a progressive bone disorder caused by disruption of blood supply, leading to bone necrosis, structural collapse, and joint dysfunction. Early diagnosis and timely intervention are essential to prevent irreversible disability. We report the case of a 35-year-old Indian male who presented with severe left hip pain significantly affecting daily activities. Magnetic resonance imaging confirmed bilateral AVN, with Grade IV involvement of the left hip and Grade II–III involvement of the right hip. Conservative management failed to provide symptomatic relief, necessitating surgical intervention in the form of total left hip replacement and right hip core decompression. Postoperatively, the patient demonstrated clinical improvement, with pain scores on the Visual Analog Scale reducing from 8/10 to 6/10, hip flexion improving from 90° to 120°, and muscle strength increasing from grade 3/5 to 4/5. AVN is commonly associated with trauma, corticosteroid use, and systemic conditions and progresses from ischemia to joint degeneration if untreated. This case emphasizes the importance of early MRI-based diagnosis and individualized treatment strategies, as advanced AVN often requires surgical management to improve pain, mobility, and overall quality of life.

Keywords : Avascular Necrosis; Femoral Head; Magnetic Resonance Imaging; Total Hip Replacement; Core Decompression; Hip Pain; Osteonecrosis.

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