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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46743
Experience:  Board Certified Physician
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Is Avascular Necrosis an absolute/relative contraindication

Resolved Question:

Is Avascular Necrosis an absolute/relative contraindication as to the utilisation of ankle joint distraction surgery (AJD)?
Can AVN be reversed by AJD ?
Submitted: 1 month ago.
Category: Medical
Expert:  Dr. David replied 1 month ago.

This is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 1 month ago.

avascular necrosis sometimes is treated by surgery to remove the dead bone

how old are you?

did you have an MRI scan of your ankle which shows AVN?

Customer: replied 1 month ago.
I am 31. I have had the conditions for 12 years.My Orthopedist advised me as to the presence of AVN. Is advising tibiotalar ankle fusion which I am hesitant about due to long term arthrosis of secondary joints.
Expert:  Dr. David replied 1 month ago.

I see

it doesn't sound like you have many good options here.

you can either live with a bad ankle like you have been for 12 years now with necrosis of the bone in the area which will not heal on its own because of lack of blood flow

or you can do the surgery and run the risks of surgery.

you can talk to your doctors about options for hyperbaric oxygen chamber therapy which can be used to try to treat AVN

https://www.ncbi.nlm.nih.gov/pubmed/12729112

https://www.ncbi.nlm.nih.gov/pubmed/19533123

Customer: replied 1 month ago.
Will the AVN get worse, or will it stabilise?
Customer: replied 1 month ago.
Also, is AVN an absolute or contraindication to arthrodiastasis?
Expert:  Dr. David replied 1 month ago.

more bone could die due to lack of blood flow to bone.

no, AVN is not a contraindication to arthrodiastasis

Customer: replied 1 month ago.
Sir, final question.How do I release funds to you.
Expert:  Dr. David replied 1 month ago.

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