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Aseptic Necrosis of the Hip

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  • Core decompression " “ For this surgery, the doctor takes out some of the inner layer of damaged bone tissue.
  • A bone graft " “ This is when the doctor takes healthy bone from another part of your body and puts it into the damaged area of your hip. It might be done together with core decompression.
  • Osteotomy " “ In this surgery, the doctor reshapes your hipbone.
  • Hip replacement " “ This surgery replaces your hip with a man-made hip joint, called a prosthesis. A prosthesis can be made out of plastic, metal, or ceramic.

  • Can aseptic necrosis of the hip be prevented? " ” You can reduce your chances of getting aseptic necrosis of the hip by keeping your bones as healthy as possible to avoid breaking a hip. To do this, you can: ‚  
    • Eat foods with a lot of calcium and vitamin D, such as milk, yogurt, and green leafy vegetables, and fish from the ocean (figure 1)
    • Take calcium and vitamin D pills
    • Be active for at least 30 minutes, most days of the week
    • Avoid smoking
    • If you drink alcohol, limit yourself to 1 drink per day (for women) or 2 drinks per day (for men).
    • If you take medicines called steroids, such as prednisone (sample brand name: Winpred) or prednisolone (sample brand name: Orapred), work with your doctor to take the lowest possible dose.

    Do your best to keep from falling, too. It sounds simple, but you can prevent a lot of fractures by trying not to fall. To do that: ‚  
    • Make sure all your rugs have a no-slip backing to keep them in place.
    • Tuck away any electrical cords, so they are not in your way.
    • Make sure all walkways are well-lit.
    • Watch out for slippery floors.
    • Wear sturdy, comfortable shoes with rubber soles.
    • Have your eyes checked.
    • Ask your doctor or nurse to check whether any of your medicines might make you dizzy or put you at risk of falling.

    All topics are updated as new evidence becomes available and our peer review process is complete. ‚  
    This topic retrieved from UpToDate on: Nov 04, 2014. ‚  
    Topic 17211 Version 3.0 ‚  
    Release: 22.8 - C22.206 ‚  
    ‚ © 2014 UpToDate, Inc. All rights reserved. ‚  


    figure 1

    Foods and drinks with calcium and vitamin D

    Foods rich in calcium include ice cream, soy milk, breads, kale, broccoli, milk, cheese, cottage cheese, almonds, yogurt, ready-to-eat cereals, beans, and tofu. Foods rich in vitamin D include milk, canned tuna fish, cod liver oil, yogurt, ready-to-eat-cereals, cooked salmon, canned sardines, mackerel, and eggs. Some of these foods are rich in both.

    Graphic 79375 Version 3.0

    View Originalfigure 1

    Foods and drinks with calcium and vitamin D

    Foods rich in calcium include ice cream, soy milk, breads, kale, broccoli, milk, cheese, cottage cheese, almonds, yogurt, ready-to-eat cereals, beans, and tofu. Foods rich in vitamin D include milk, canned tuna fish, cod liver oil, yogurt, ready-to-eat-cereals, cooked salmon, canned sardines, mackerel, and eggs. Some of these foods are rich in both.

    Graphic 79375 Version 3.0

    View Original

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    This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. ‚ ©2014 UpToDate, Inc. All rights reserved. ‚  

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