Several measures are available nonchirurgicale to treat symptoms caused by osteonecrosis. It manages or other anti-inflammatory analgesic, decrease physical activity and stress, we recommend a special izica therapy to relieve symptoms. These measures are indicated for the treatment of shoulder damage, small areas of osteonecrosis of the knee and thigh.Noninterventionala therapy usually cause negative prognosis.There are several surgical interventions that slow or stop disease progression. They are effective to treat the condition early that has not yet progressed to collapse of bone. The decompression procedure is simple and common bone marrow.
Decompression is a technique used hematopoietic meduvei.Mechanism decreases vascular engorgement and inflammation and relieve the pressure-intramedullary compartment syndrome.Other options include treatments and vascularized bone grafting or nonvascularizat, prosthesis, rotational osteotomy, joint fusion, total arthroplasty. It is relatively simple, with a low rate of complications and require only six weeks wearing screws.
Another bone-grafting procedure is transplantation of bone out of a different area of health. For osteonecrosis thigh area involves removing dead tissue and bone reinlocuirea with another body part. Registry support the weakened area and stimulates new bone formation, alive. An osteotomy is another procedure to save the affected joint. It is made especially in the thigh region and is indicated for young people with a degree of collapse, which makes contraindications for medullary decompression or other procedures. Osteonecrosis is usually done in the mechanical support of the femoral head. Grafting and osteotomy are difficult procedures.Total joint arthroplasty or reinlocuirea is only effective for relieving pain and restoring motricitatii if osteonecrosis caused significant collapse of the joint. Over 95% of patients benefit from arthroplasty.Partial arthroplasty involves replacing the femoral head with a metal head in young people. Occasionally partial or total shoulder arthroplasty is not necessary for advanced osteonecrosis respond well to therapy nonchirurgicala.