Orthonotes
Orthonotes
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v4.1 Fusion X
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Avascular Necrosis (AVN) Hip — Ficat & ARCO

AVN = ischemic necrosis of femoral head → collapse and arthritis. Risk factors: steroids, alcohol, trauma, sickle cell, Gaucher’s, idiopathic. Ficat staging I–IV; ARCO integrates imaging and lesion size/location. MRI is most sensitive investigation (double-line sign). Management: early—bisphosphonates, core decompression; late—osteotomy, resurfacing, THA.

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AVN = ischemic necrosis of femoral head → collapse and arthritis. Risk factors: steroids, alcohol, trauma, sickle cell, Gaucher’s, idiopathic. Ficat staging I–IV; ARCO integrates imaging and lesion size/location. MRI is most sensitive investigation (double-line sign). Management: early—bisphosphonates, core decompression; late—osteotomy, resurfacing, THA.
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