AVN Hip Replacement

A woman holding her hip in pain

Avascular Necrosis (AVN) of the hip, also known as osteonecrosis, occurs when the blood supply to the femoral head (the ball of the hip joint) is disrupted, causing bone tissue to die. This condition can lead to the collapse of the hip joint and severe pain, often requiring surgical intervention like hip replacement to restore mobility and quality of life.

What is AVN Hip Replacement?

AVN hip replacement, also called total hip arthroplasty, is a surgical procedure where the damaged hip joint is replaced with a prosthetic implant. This surgery is usually recommended for patients whose AVN has progressed to the point where the femoral head has collapsed, causing pain and restricted movement that conservative treatments like medication or physical therapy can no longer relieve.

An illustration of AVN Hip Replacement

Who Needs AVN Hip Replacement?

Hip replacement is typically considered for AVN patients who:

  • Experience severe, persistent hip pain that interferes with daily activities such as walking, sitting, or climbing stairs.
  • Have limited mobility due to joint stiffness or discomfort.
  • Have tried non-surgical treatments such as pain medication, physical therapy, or assistive devices without adequate relief.
  • Show signs of advanced joint damage or bone collapse on X-rays or MRI scans.

The Procedure

During an AVN hip replacement:

  1. The surgeon removes the damaged portions of the femoral head and the socket (acetabulum) of the hip joint.
  2. The damaged areas are then replaced with a prosthetic implant, usually made from metal, ceramic, or durable plastic.
  3. The new joint allows for smoother movement and helps to alleviate the pain caused by the diseased bone.

This surgery is performed under general or spinal anesthesia and typically lasts a few hours. After surgery, patients may require a short hospital stay, followed by physical rehabilitation to regain strength and mobility.

About Dr. Saif Nabi Shah

I currently practice at Medanta Hospital, Lucknow, where I’m the Director of the Institute of Musculoskeletal Disorders and Orthopaedics.

My expertise covers Partial and Total Knee Replacement Surgery, Hip Replacement Surgery, Revision Surgeries, as well as Spinal Decompression & Fixation. To date, I’ve performed over 1500 joint replacement surgeries and more than 5000 orthopaedic surgeries.

 

Google Reviews

Pramod YadavPramod Yadav
10:27 12 Sep 24
Dr. Saif is very kindness and having good knowledge.Thanks to Dr Saif and entire team for operating surgery my Right hand shoulder
Neeraj SinghNeeraj Singh
05:44 12 Sep 24
Experience is very much excellentDr Saif sir and his all team person work is very excellent
farhan azmifarhan azmi
10:09 06 Aug 24
ashrita lalashrita lal
11:09 01 Aug 24
Thank you so much Sir.
Shilpi guptaShilpi gupta
05:12 17 Jul 24
Dear Dr. SaifThanks for the great care after my Mother TKR surgery! Your expertise and support have made a huge difference in my Mother recovery. pain-free and regaining strength. Appreciate your guidance and would highly recommend you to others.
Faizan RizviFaizan Rizvi
05:48 01 Jun 24
Dr. Saif N Shah and his team was kind. He listened to my concerns, and I greatly appreciated him walking me through every step of my forearm surgery I received. I felt confident with his treatment plan and would highly recommend him to other patients.
Rameshwar SinghRameshwar Singh
10:28 31 May 24
Dr Saif N Shah with his team is best doctor for orthopedic surgery. I was very much worried about my daughter's surgery but Dr Saif explained in detail the surgery procedure in very polite manner . After surgery I am very satisfied. Thanks to Dr Saif and team to perform pre and Post surgery care. I also appreciate the works and care of nursing and patients support staff at medanta specially supporting staff Mrs Geeta. She is very caring. Thanks to Dr Saif and his team .
Ashish ShuklaAshish Shukla
10:39 18 May 24
Dr. Saif isn't just a great doctor, He's a great human being, consciously doesn't write unnecessary tests, even tells u not to visit unnecessarily. In this day and age coming across an individual like him is a blessing in itself, Add his medical expertise on top of it and u get a justification for why doctors are often compared with God.He handled my implant removal with utmost care and responsibility. I wish there were more doctors and in general more humans like Dr. Saif. Thank you sir !
Aradhna PrakashAradhna Prakash
06:17 02 Apr 24
Dr Saif is an excellent surgeon! The way he handles his cases is really impressive. He has a very clear line of thought. He very adeptly tackles the treatment process and understands not just the pain caused by injury but also by the surgery. Thank you Dr Saif and the whole team at Medanta Lucknow for taking such good care of me.
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Don’t let pain hold you back. 

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OPD Hours

Monday - Friday 9.00 - 17.00
Saturday 9.00 - 17.00

Experience

Years of Working 22+
Joint Replacement Surgeries 2000+
Othopedic Sugeries 6000+

FAQ

Hip replacement does not "cure" Avascular Necrosis (AVN), but it effectively treats the symptoms by replacing the damaged joint. AVN causes the bone in the hip to lose blood supply, leading to pain and joint collapse. A total hip replacement removes the diseased bone and cartilage, replacing it with a prosthetic joint that restores mobility and eliminates the pain caused by AVN. While the underlying disease isn’t reversed, hip replacement surgery provides long-term relief and improved quality of life.

Recovery from AVN hip replacement surgery typically takes about 3 to 6 months. Most patients can begin walking with assistance within a few days of surgery and start physical therapy shortly after. Light activities and tasks can usually be resumed in 4 to 6 weeks, while a full recovery, including a return to more strenuous activities, may take several months. The exact recovery time varies depending on the patient’s overall health, adherence to rehabilitation, and the complexity of the surgery.

AVN hip replacement surgery is generally very successful, with success rates of around 90-95%. Most patients experience significant pain relief, improved mobility, and a better quality of life after surgery. Modern prosthetic joints are designed to be durable, lasting 15-20 years or longer in many cases. The success of the surgery depends on the extent of the AVN damage, the patient’s health, and following post-operative care instructions, including rehabilitation exercises.

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