Aseptic hip necrosis


Around 150,000 patients suffer from hip necrosis each year in the USA. The cause, if there was no accident, is not known but we know that the regular cortisone and alcohol are a contributing factor. men between 50 and 60 years are most often affected. Hip necrosis is a common cause of disability in relatively young and active people .


Bone destruction is due to a micro-circulation disorder. At first the patient complains of hip pain, thereafter, his mobility is reduced. The diagnosis should be made early by imaging. Other locations such as the knee are possible. If treatment is not started quickly, the hip prosthesis comes into question. Painful edema of the bone is a completely different situation. Here we are talking about a circulation disorder that would be responsible for the pain. The disease usually heals spontaneously after 6-8 months, hip necrosis can sometimes develop . In both diseases, hip pain is the first sign of disease. Depending on the statistics, knee necrosis occurs in between 3% for fifty-year-olds and 9% for 65-year-olds.

Goal of treatment

As hip necrosis and resistant bone edema mainly affects young people and this can end in bone destruction requiring the fitting of a prosthesis, early diagnosis is essential. HBOT can decrease or suppress pain. It also regenerates the affected bone and thus avoids the prosthesis. In the case of spinal edema, HBOT accelerates the healing process and allows the healing of refractory cases.

Hyperbaric oxygen and aseptic hip necrosis

Similar successes have been found in the treatment of knee necrosis. The necrosis decreased significantly with HBOT whereas it remained unchanged with the conventional combination of weight relief and alendronate.

Practical use of HBOT

181/5000 At least 30 daily sessions are generally prescribed. HBOT should be used only in the early stages.

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