Femoral Head Necrosis Surgery
Femoral Head Necrosis Surgery
Necrosis of the femoral head, also called coxarthrosis, is a gradual process: over the course of many years, the femoral head begins to die and cause pain. On top of this, patients usually notice restricted joint movement.
Your advantages at OrthoCenter Munich
- International Excellence in Orthopaedics: Treatment of patients from around the world with multilingual care and the highest international standards.
- Scientifically Leading Expertise: Over one hundred scientific publications and international research ensure evidence-based medicine at the highest level.
- Modern Conservative and Minimally Invasive Therapies: Regenerative medicine such as PRP, hyaluronic acid or stem cell therapy combined with precise arthroscopic surgery.
- Specialisation in Shoulder, Knee, Elbow and Ankle: Individual diagnostics and treatment for all relevant joint conditions and injuries.
- High-Level Sports Orthopaedics: Modern treatment concepts and structured return-to-sport strategies for recreational and professional athletes.
- Premium Private Practice with Personal Care: Short pathways, direct communication with your physician and individual, high-quality support throughout the entire course of treatment.
Joint-preserving procedures or prosthetic insertion
In early stages, the need for a hip replacement or prosthetic insertion can sometimes be avoided. In this case, your surgeon will attempt a joint-preserving operation, in which holes are drilled into the bone to restore blood flow.
Surgery in cases of femoral head necrosis
In cases of femoral head necrosis, a joint-preserving operation aims to save the joint and reduce pressure on the dying femoral head. In doing so, blood flow will be restored to the bone. This type of surgery is usually only successful during the early stages of the disease. During what is called a transposition osteotomy, the affected bone is removed from the area of excessive force so that overall pressure on the hip is reduced. This is a relatively complex operation, which should be discussed fully with your doctor.
Surgery in cases of coxarthrosis
If the femoral head is already completely destroyed or broken, the last resort is to insert a prosthetic hip joint. Here the patient has two options: either a total hip replacement or a hip resurfacing. Hip resurfacing based on a technique pioneered by McMinn only replaces the uppermost layer of bone and is recommended for younger patients. The classic treatment has already seen many years of use and all of the experience points to a successful treatment. An individual consultation with your orthopaedic specialist is always necessary.
Your hip specialist in Munich
PD Dr. med. Daniel P. Berthold
- Board-certified specialist in orthopedics and trauma surgery with international training at TUM, LMU, and the University of Connecticut.
- Over 100 scientific publications and award-winning research.
- Modern conservative therapies such as PRP, hyaluronic acid, and stem cell procedures.
- Precise minimally invasive surgery and individualized, evidence-based treatment planning
- Specialized in joint-preserving procedures, labral injuries, and minimally invasive hip surgery
- Innovative osteoarthritis therapies and modern regenerative procedures
- Individualized care for patients with hip pain, osteoarthritis, and sports-related injuries
