PMC10152959_01
Plain radiograph of pelvis with bilateral hips (AP view) showing (Ficat-Arlet staging) Grade 2 avascular necrosis of right femoral head and Grade 2 avascular necrosis of left femoral head.
JOCR-13-27-g001.jpg
PMC10152959_01_JOCR-13-27-g001.jpg
F1
A plain radiograph of the pelvis with bilateral hips showed evidence of AVN of bilateral femoral heads as depicted in Fig. 1.
Immediate post-operative radiograph of pelvis with bilateral hips (AP view) showing post-bone marrow aspirate concentrate implantation in right hip and Grade 2 avascular necrosis of left femoral head.
JOCR-13-27-g002.jpg
PMC10152959_01_JOCR-13-27-g002.jpg
F2
However, the patient was hesitant and only agreed to have surgery done on his right hip, which was more symptomatic at the time and was therefore treated first using decompression and BMAC injection as depicted in Figs. 2, 3, 4, 5.
3-month follow-up radiograph of pelvis with bilateral hips (AP view) showing post-bone marrow aspirate concentrate implantation in right hip and Grade 2 avascular necrosis of left femoral head.
JOCR-13-27-g003.jpg
PMC10152959_01_JOCR-13-27-g003.jpg
F3
However, the patient was hesitant and only agreed to have surgery done on his right hip, which was more symptomatic at the time and was therefore treated first using decompression and BMAC injection as depicted in Figs. 2, 3, 4, 5.
3-years follow-up radiograph of pelvis with bilateral hips (AP view) showing post bone marrow aspirate concentrate implantation in right hip and adult autologous live cultured osteoblast implantation in left hip.
JOCR-13-27-g004.jpg
PMC10152959_01_JOCR-13-27-g004.jpg
F4
However, the patient was hesitant and only agreed to have surgery done on his right hip, which was more symptomatic at the time and was therefore treated first using decompression and BMAC injection as depicted in Figs. 2, 3, 4, 5. One year later, the patient reported similar complaints of pain, restricted movement, and difficulty in activities of daily living in the left hip for which he underwent decompression along with the injection of AALCO implantation as depicted in Figs. 4 and 5.
5-years follow-up radiograph of pelvis with bilateral hips (AP view) showing post bone marrow aspirate concentrate implantation in right hip and adult autologous live cultured osteoblast implantation in left hip.
JOCR-13-27-g005.jpg
PMC10152959_01_JOCR-13-27-g005.jpg
F5
However, the patient was hesitant and only agreed to have surgery done on his right hip, which was more symptomatic at the time and was therefore treated first using decompression and BMAC injection as depicted in Figs. 2, 3, 4, 5. One year later, the patient reported similar complaints of pain, restricted movement, and difficulty in activities of daily living in the left hip for which he underwent decompression along with the injection of AALCO implantation as depicted in Figs. 4 and 5.