- Request received31/05/2026
- Checked & confirmed29/07/2026
- FundraisingOngoing29/07/2026
- Treatment provided
- Invoice paid
- Case closed
Why is treatment sometimes done earlier than the payment?
When a case is urgent and vital, hospitals often proceed with delivering medical care right away to save a life, even before the finalisation of admission procedures. Usually, when this happens, hospitals put the bill on our credit until the funds are transferred to their accounts. That’s why the chronology can sometimes be in disorder.
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Zainul A., 21
FundraisingUrgentBones & joints
19
$2615
About bones & joints
Bilateral avascular necrosis of the femoral heads is a progressive condition where the blood supply to the top of both thigh bones is severely disrupted, causing the bone tissue to die and gradually decay. Over time, this structural weakening leads to the micro-collapse of the bone surface, resulting in severe hip pain, joint stiffness, and a dramatic loss of physical mobility. The primary complications of bilateral avascular necrosis of the femoral heads include complete structural collapse of the femoral heads, severe secondary osteoarthritis of both hips, chronic disabling pain, muscle atrophy in the lower limbs, and a profound loss of mobility that ultimately requires bilateral total hip replacement surgery.
WholeCare Clinic and Hospital Equipment Ltd
Rafin Zurfi, near Dunamis Church, Bauchi
Background
Zainul is a 21 year old male young adult who just completed his secondary education, he is currently staying with his parents and siblings. They live in an inherited apartment with 3 rooms, a pit toilet and access to electricity. They find it difficult to feed. Abidin could not further his education because no one to sponsor his education and his health keeps getting worse. They make use of water from the borehole. Total monthly income is 20000. Zainul presented with history of minor fall about a year ago where he sustained injury to his right hip with associated pain and limitation of movement. Within a month interval he started having pains on the left hip joint as well. He progressively loses range of motion on his hip bilaterally. That has significantly limited his ability to carry out his daily chores. He visited hospital for treatment but he was not able to continue with treatment on financial ground as surgery was offered. He is not a known sickle cell disease patient and no history to suggest malignancy or other comorbidity. On examination he is a young man who walks dragging the legs with the hip joints fixed in adduction. Abduction and circumduction of the lower limbs at the hip joints are severely limited due to stiffness. X-ray of the hip joints shows lytic lesions at the neck of the femur bilaterally in keeping with avascular necrosis of the heads of femur bilaterally.
Prognosis
From a medical standpoint, Zainul presented with bilateral avascular necrosis of the femur, severe pains, and inability to use the limb fully. The primary complications of avascular necrosis (AVN) are the structural collapse of the bone, severe articular surface destruction, and the rapid development of debilitating, secondary osteoarthritis that severely restricts joint mobility. The prognosis of bilateral avascular necrosis of the femoral heads depends on the stage at diagnosis and extent of bone involvement. Advanced disease often progresses to femoral head collapse and osteoarthritis, requiring total hip replacement to restore function and relieve pain. The long-term prognosis is poor without treatment as the condition inevitably progresses to bone collapse, but it is highly favorable for pain relief and functional recovery when managed with joint-preserving surgeries or modern total hip replacements.
