Total hip Replacement for Alcohol induced Avascular necrosis of Hip Joint in young male.

Understanding the Impact:  Alcohol-Induced Musculoskeletal Complications


Excessive alcohol consumption can contribute to osteonecrosis, arthritis, and other orthopaedic issues, necessitating comprehensive solutions to address the complex interplay between alcohol-related damage and hip joint function.



With the challenges of Avascular necrosis (AVN), Dr. Swapnil Gadge at Gadge Hospital employs advanced surgical techniques to preserve the hip joint and alleviate the progression of the disease. These procedures, including core decompression, vascularized bone grafts,  osteotomies and joint Replacement. 


1. Core Decompression with Stem Cell Therapy: Reducing Pressure, Enhancing Repair


Core decompression is a meticulous procedure that involves the use of small drills to create holes in the femoral head. Dr. Swapnil Gadge, often accompanied by stem cell therapy, aims to reduce pressure within the head and stimulate bone regeneration. This technique provides a targeted intervention to halt the advancement of AVN.


2. Vascularized and Non-Vascularized Bone Grafts: Nurturing Hip Health


For some patients, the insertion of vascularized or non-vascularized bone grafts into the femoral head becomes a pivotal step in the treatment journey. This approach fosters the introduction of healthy bone tissue, contributing to the preservation of the hip joint and preventing further deterioration.


3. Osteotomies: Strategic Bone Cutting for Healing


Osteotomies, involving precision bone cutting, are strategically employed by Dr. Swapnil Gadge to rotate the diseased segment of the bone, promoting healing. This procedure aims to reposition the compromised bone, redirecting forces to areas conducive to recovery and preserving the structural integrity of the hip joint.


The Role of Total Hip Replacement: A Lasting Solution


Despite the intricacies of these head preservation procedures, a significant number of AVN cases reach advanced stages, necessitating a total hip replacement. Dr. Swapnil Gadge undertakes this transformative surgery, excising the diseased femoral head and introducing prosthetic metal/ ceramic  and plastic components. This artificial hip joint not only mimics the natural hip’s movements but also offers enduring relief from pain.

The acetabulum cup, made of metal alloy or ceramic, is meticulously fixed with screws or press-fitting techniques. A durable plastic component ensures smooth gliding within the cup. The metal alloy stem, either press-fitted or fixed with bone cement, finds its place in the thigh bone cavity. The prosthetic head, crafted from metal alloy or ceramic, is affixed to the stem, completing the artificial hip joint.


Revolutionizing Lives: Drastic Improvement in Quality of Life


Joint replacement surgery under the skilled hands of Dr. Swapnil Gadge brings about a drastic improvement in the quality of life for AVN patients. Swift recovery allows individuals to resume the lifestyle they enjoy, showcasing the success of these surgical interventions. Thanks to continual advancements in implant materials and surgical techniques, patients at Gadge Hospital experience lasting benefits, with surgeries standing the test of time for many years.

In this image, the successful strategy employed for the case is evident through




About Dr. Swapnil Gadge and Gadge Hospital


Dr. Swapnil Gadge, a distinguished orthopedic surgeon, spearheads Gadge Hospital’s mission to provide cutting-edge orthopedic care. His expertise, combined with state-of-the-art facilities, positions Gadge Hospital as a beacon of hope for those seeking comprehensive and transformative solutions for AVN.

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