12-hour surgery saves young man’s hip at Thrissur Govt. Medical College in Kerala

Doctors at the Government Medical College in Thrissur successfully performed a complex 12-hour surgery to treat avascular necrosis in a young patient. The procedure involved a rare free vascularised fibula graft to preserve the hip joint.
Why it matters
This demonstrates the capability of public healthcare institutions to perform advanced, specialized surgeries despite resource limitations.
In a rare and technically demanding procedure, doctors at the Government Medical College Hospital, Thrissur, have successfully performed a complex surgery to treat avascular necrosis of the hip in a 28-year-old man, while preserving his hip joint.
The patient, a native of Mannuthy, had avascular necrosis in both hips—a condition in which reduced blood supply causes bone tissue to deteriorate. The disease was at stage III in the right hip and stage II in the left.
As the patient was young, doctors opted for a joint-preserving procedure on the left hip, with the aim of avoiding or delaying hip replacement surgery in the future.
The surgery lasted more than 12 hours and involved two specialised procedures: core decompression, followed by a free vascularised fibula graft.
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