avascular necrosis surgery in nagpur

Steroid Induced Avascular Necrosis of Hip joint – Demands Total hip Replacement of Both the hip Joint in Young Female Patient

The patient initiated steroid therapy in an attempt to gain weight but subsequently developed avascular necrosis (AVN).

Avascular necrosis (AVN) is a condition characterised by the loss of blood supply to the bone, leading to bone cell death leading to Joint Destruction. This case focuses on a young female patient who faced significant challenges such as difficulty in walking and  even sitting and  finally being dependent on a walker to walk. Traditional treatment options were not effective, necessitating a novel surgical approach

Patient History:


The 27-year-old female patient presented with a one-year history of AVN in her hip joint, resulting in fixed joint mobility. The patient was unable to stand or sit comfortably. Conservative treatments was not an option so Total Hip replacement Surgery was offered.



Surgical Approach:


Dr. Swapnil Gadge implemented a unique surgical approach tailored to the patient’s specific condition. The surgery involved a hip replacement procedure, aiming to restore joint function and alleviate the patient’s immobility.


Key Features of the Surgical Approach:


  • Customised Prosthesis: Dr. Gadge utilised a customised prosthetic implant to ensure a perfect fit for the patient’s anatomy, promoting optimal joint functionality.
  • Minimally Invasive Technique: The surgery employed a minimally invasive technique to reduce trauma, minimise scarring, and expedite the patient’s recovery.
  • Rehabilitation Protocol: A specialised postoperative rehabilitation protocol was developed to enhance the patient’s recovery and facilitate a swift return to daily activities.



Post Surgery Steps


  • Discontinuing Steroid use: This was crucial to prevent further damage to the bones.
  • Pain Management: Medication and other therapies helped manage the pain
  • Physical Therapy: Strengthening exercises and mobility training aimed to improve the woman’s functional abilities.
  • Nutritional counselling: Ensuring proper nutrition was essential for bone health and overall recovery.




The patient exhibited significant improvement postoperatively, with restored joint mobility and relief from pain. The innovative surgical approach not only addressed the AVN but also contributed to the patient’s weight gain and overall well-being.




This case study highlights the successful application of a unique surgical approach by Dr. Swapnil Gadge at Gadge Hospital to address AVN in a young female patient. The customised prosthetic implant, minimally invasive technique, and tailored rehabilitation protocol collectively contributed to the patient’s improved joint function and overall quality of life. This innovative approach may pave the way for similar interventions in challenging orthopedic cases.

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