JORR
Journal of Orthopedics Research and Rehabilitation

The Journal of Orthopedics Research and Rehabilitation welcomes scholarly papers in orthopaedic surgery, physical therapy and rehabilitation, physiotherapy, neurology and clinic anesthesiology and reanimation.

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Case Report
Bilateral femoral avascular necrosis in a 28-year-old male: a case report
Abstract
This case report discusses bilateral avascular necrosis, or osteonecrosis, of the femoral head in a 28-year-old male lacking associated risk factors. This condition is marked by insufficient blood supply to the femoral head, which can lead to joint collapse, necessitating total hip arthroplasty (THA), as in our patient. Our case presents a challenging diagnosis, emphasizing the need for comprehensive understanding of the presence, or absence, of risk factors, and the role of early detection in optimal patient outcomes. Treatment options range from conservative modalities to surgical interventions, with THA as a definitive solution. We also consider potential complications of treatments, particularly the unique challenges brought on by THA performed in younger patients.

Keywords : Avascular necrosis, total hip arthoplasty, orthopedic surgery, avascular necrosis of the femoral head

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1. Swarup I, Lee YY, Movilla P, et al. Common factors associated with osteonecrosis of the femoral head in young patients requiring total hip arthroplasty. Hip Int. 2015;25(3):232-236. doi:10.5301/hipint.5000225
2. Moya-Angeler J, Gianakos AL, Villa JC, et al. Current concepts on osteonecrosis of the femoral head. World J Orthop. 2015;6(8):590-601. doi:10.5312/wjo.v6.i8.590
3. Mankin HJ. Nontraumatic necrosis of bone (osteonecrosis). N Engl J Med. 1992;326(22):1473-1479. doi:10.1056/NEJM199205283262206
4. Assouline-Dayan Y, Chang C, Greenspan A, Shoenfeld Y, Gershwin ME. Pathogenesis and natural history of osteonecrosis. Semin Arthritis Rheum. 2002;32(2):94-124.
5. Tripathy SK, Goyal T, Sen RK. Management of femoral head osteonecrosis: current concepts. Indian J Orthop. 2015;49(1):28-45. doi: 10.4103/0019-5413.143911
6. Aldridge JM 3rd, Urbaniak JR. Avascular necrosis of the femoral head: etiology, pathophysiology, classification, and current treatment guidelines. Am J Orthop (Belle Mead NJ). 2004;33(7):327-332.
7. Arbab D, König DP. Atraumatic femoral head necrosis in adults. Dtsch Arztebl Int. 2016;113(3):31-38. doi:10.3238/arztebl.2016.0031
8. Grimm J, Hopf C, Higer HP. Die Femurkopfnekrose. Diagnostik und morphologische analyse mittels röntgen, szintigraphie, computertomographie und magnetresonanztomographie [femur head necrosis. diagnosis and morphologic analysis using roentgen, scintigraphy, computerized tomography and magnetic resonance tomography]. Z Orthop Ihre Grenzgeb. 1989;127(6):680-690. doi:10.105 5/s-2008-1040312
9. Pakos EE, Paschos NK, Xenakis TA. Long term outcomes of total hip arthroplasty in young patients under 30. Arch Bone Jt Surg. 2014;2(3):15 7-162.
10. Dorr LD, Kane III TJ, Conaty JP. Long-term results of cemented total hip arthroplasty in patients 45 years old or younger. A 16-year follow-up study. J Arthroplasty. 1994;9(5):453-456. doi:10.1016/0883-5403 (94)90090-6
11. Clohisy JC, Oryhon JM, Seyler TM, et al. Function and fixation of total hip arthroplasty in patients 25 years of age or younger. Clin Orthop Relat Res. 2010;468(12):3207-3213. doi:10.10 07/s11999-010-1468-4
12. Learmonth ID, Heywood AW, Kaye J, Dall D. Radiological loosening after cemented hip replacement for juvenile chronic arthritis. J Bone Joint Surg Br. 1989;71(2):209-212. doi:10.1302/0301-620X.71B2.2925736
13. Hwang SK. Experience of Complications of Hip Arthroplasty. Hip Pelvis. 2014;26(4):207-13. doi:10.5371/hp.2014.26.4.207. doi:10.5371/hp. 2014.26.4.207
Article available in :
Volume 4, Issue 1, 2026
Page : 22-24
https://doi.org/10.51271/JORR-0065
Article Information
Received : 19 Eyl 2025
Accepted : 27 Oca 2026
Published : 31 Oca 2026
Corresponding Author :

Zachary Taylor: Department of Physical Medicine and Rehabilitation, Mission Community Hospital, California, USA

[email protected]
Citation : Taylor Z. Bilateral femoral avascular necrosis in a 28-year-old male: a case report. J Orthop Res Rehabil. 2026;4(1):22-24.

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