Biological Support

Bone Marrow Aspirate Concentrate (BMAC) for Hip AVN

BMAC may be discussed as a biological adjunct in selected early AVN cases, usually alongside clear staging and realistic counselling.

Bone Marrow Aspirate Concentrate (BMAC) for Hip AVN
Selection

Where BMAC may fit

Biological treatments are not a universal answer and need case selection.

Discussion points

  • AVN stage and lesion size.
  • Age, activity level and risk factors.
  • Whether joint surface collapse has already occurred.

Counselling

  • Expected benefit is individualized.
  • Follow-up is needed to track progression.
  • Advanced collapse may still require replacement.
Planning

Treatment planning

The decision should be made after reviewing imaging and alternatives.

Before procedure

  • MRI/X-ray review.
  • Medical fitness and blood parameters.
  • Discussion of protected walking.

After procedure

  • Activity restriction as advised.
  • Physiotherapy and pain monitoring.
  • Repeat review if pain persists or worsens.

Next Step

Book an orthopedic consultation

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