Avascular necrosis/Osteonecrosis: The Daily PANCE Blueprint
Which of the following is considered a first-line treatment option for early-stage avascular necrosis?
A. Total hip replacement
B. Core decompression surgery
C. High-dose calcium supplementation
D. Non-weight bearing exercises
E. NSAIDs for pain management
Answer and topic summary
The answer is B. Core decompression surgery
Core decompression surgery is considered a first-line treatment option for early-stage avascular necrosis. This procedure involves removing a core of bone from the affected area to reduce pressure, increase blood flow, and stimulate the production of healthy bone tissue.
Explanation for Incorrect Answers:
A. Total hip replacement: Indicated for advanced avascular necrosis when the joint is collapsed or there is significant pain that interferes with daily activities.
C. High-dose calcium supplementation: While important for bone health, calcium supplementation alone does not address the underlying issue in avascular necrosis.
D. Non-weight bearing exercises: Can help maintain joint function and muscle strength but are not a treatment for the underlying avascular necrosis.
E. NSAIDs for pain management: While NSAIDs can help manage pain associated with avascular necrosis, they do not treat the condition itself.
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