Outcome of modified physiotherapy management in post-Operative avascular necrosis managed by core decompression with PRP infiltration

Gauri Kariya, Swapna Jawade*, Om C. Wadhokar, Chaitanya A. Kulkarni, Waqar M. Naqvi

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Avascular necrosis is the decease of bone tissue due to loss of blood supply. In severe cases it may result in bone collapse and Most often it affects Hip. Physiotherapy plays an important role in reducing post-operative pain in Avascular necrosis. After operative management, physiotherapy interventions play crucial role in rehabilitation of patient. Strengthening exercises, squats, passive movements proves to be useful. A 24-year male who was diagnosed with Avascular necrosis of right femoral head. Patient was suffering from pain at right hip since 8 months. Pain gradually started from hip and then it progressed up to knee. Patient had dull aching pain which aggravates while walking, standing and relieves as patient rests. Patient showed diurnal variation, symptoms of pain worsens in early morning. On the visual analogue scale, patient scored 08/10 for pain. On palpation there was no tenderness at the site of pain Patient underwent core decompression with PRP infiltration of right femoral head after 15 days of admission to the hospital. Patient was referred to physiotherapy with complaints of pain, restricted range of motion (ROM), muscle weakness and difficulty in weight bearing. Modified physiotherapy Rehabilitation was given to regain full range of motion, gradually to increase weight bearing and keep associated muscles strong. Patient was treated 5 days per week for 08 weeks. Key exercises of rehabilitation were mobilization, static quadriceps strengthening exercises, bed side sitting. It is concluded that modified physiotherapy intervention used in this case report was effective in post-operative Avascular Necrosis for early restoration of strength, ROM and functional activities.

Keywords:

Postoperative rehabilitation, Avascular Necrosis, Post-Operative Avascular Necrosis