# Orthopedic Challenges in Avascular Necrosis Management: A Case Report of Surgical Complications and Multidisciplinary Care

## TL;DR

This case report highlights the complexities of managing avascular necrosis in a patient with multiple health issues and surgical complications.

## Contribution

The paper presents a detailed case emphasizing the challenges of AVN diagnosis and treatment requiring multidisciplinary care.

## Key findings

- The patient experienced persistent hip and leg pain due to avascular necrosis despite prior surgery.
- Complications such as trochanter dislocation and prosthesis fracture necessitated additional surgical interventions.
- The case underscores the need for careful postoperative management and a multidisciplinary approach in AVN treatment.

## Abstract

A 52-year-old woman, with a multifaceted medical background encompassing spinal cord injury, pneumonia, and recurrent hospitalizations, presents with enduring left hip and leg discomfort ultimately diagnosed as avascular necrosis (AVN). She previously underwent intraosseous direct anterior arthroplasty (DAA) of the left hip during the removal of orthopedic artifacts. Despite enduring hypertension, severe trochanter dislocation, and prosthesis fracture, she recovered and required additional surgery to address the dislocation and fracture. This case underscores the challenges in diagnosing and treating AVN, emphasizing the importance of meticulous postoperative care and a multidisciplinary approach. Challenges highlighted by AVN include delayed diagnosis, intricate surgical procedures, and the potential need for further interventions due to hardware complications and infection as seen in this patient.