Shoulder Avascular Necrosis Surgical Treatments
What are the surgical options for AVN?
In cases of AVN where conservative treatments are not sufficient, surgical interventions may be considered. Here are some surgical options for AVN of the shoulder:
A minimally invasive procedure that involves drilling a hole into the humeral head to relieve the pressure within the bone. The decreased pressure allows the vasculature to re-supply the damaged bone. This procedure also creates new channels for blood vessels to supply nutrients and oxygen to the dead bone. Core decompression is most effective in cases that are diagnosed early before the humeral head collapses.
Replacement of the dead bone and damaged cartilage with healthy bone and cartilage from another bone in the body (autograft) or from a donor (allograft). This procedure replaces the defect, provides mechanical support, and re-introduces a smooth cartilage joint surface. Stem cells are often extracted from other parts of the body and injected into the shoulder joint during this procedure to promote bone and cartilage healing as well as reduce inflammation.
The most effective treatment in late-stage cases of AVN where the bone has already collapsed. This procedure involves removing the damaged bone and replacing it with prosthetic implants that restore the function of the shoulder joint. This procedure is performed by a joint replacement surgeon. If you are diagnosed with AVN and humeral head collapse, Dr. Chahla will refer you to a trusted joint replacement surgeon to learn more about the replacement options available to you.
In advanced cases of shoulder AVN, surgical intervention may be necessary to restore function and relieve pain. Core decompression, bone grafting, or total shoulder replacement may be recommended depending on the severity of joint damage. Dr. Jorge Chahla specializes in shoulder-preserving and reconstructive surgical techniques to improve long-term outcomes. If non-surgical treatments are no longer effective, schedule an appointment with Dr. Chahla in Chicago, Naperville, or Oak Brook to explore surgical options for AVN.
At a Glance
Dr. Jorge Chahla
- Triple fellowship-trained sports medicine surgeon
- Board certified in orthopaedic sports medicine
- Team physician for the Chicago Bulls, White Sox and US Soccer
- Performs over 800 surgeries per year
- Associate professor of orthopedic surgery at Rush University
- Learn more
