Avascular necrosis (AVN), also known as osteonecrosis, refers to the death of bone tissue occurring due to the disruption of blood flow within a bone. It affects the ends of the bones where they terminate in a joint. Although it may occur anywhere in the ankle, elbow, jaw, and shoulder, the most common area of occurrence is the hip joint.
When avascular necrosis (AVN) reaches an advanced stage, your doctor may recommend total hip replacement surgery to restore hip function and alleviate pain. If you’re considering this procedure, Delhi is an excellent option. The city is home to skilled orthopedic surgeons who specialize in AVN hip surgery, ensuring you receive expert care throughout the process. Additionally, the hospitals in Delhi provide high-quality aftercare, helping you recover effectively. Choosing AVN hip surgery in India means you’re opting for a combination of expertise and comprehensive support during your recovery journey.
What are the Causes of AVN of the Hip?
AVN of the hip takes place when the blood supply to the femoral head is interrupted, which leads to the death of bone tissue. It may be traumatic or non-traumatic.
- The traumatic AVN of the hip occurs when trauma, such as dislocation of the hip, hip fracture, or any previous hip surgery, interrupts blood supply to the femoral head.
- Non-traumatic AVN of the hip can be the result of several risk factors, such as excessive use of alcohol, sickle cell disease, smoking, Gaucher disease, previous radiation therapy or chemotherapy, decompression sickness, chronic liver disease, HIV infection, organ transplantation, blood clotting disorders, and more.
You may not experience any symptoms during the early stages of this condition, but as soon as it progresses, you may feel pain in the hip, groin, thigh, knee, and buttocks. The pain sets in gradually over time. It also starts affecting the range of motion.
What are the Surgical Options for AVN of the Hip?
Upon diagnosing your condition, the surgeon may choose from the following treatment approaches.
Core Decompression
It is a minimally invasive surgery that involves drilling into the part of the femoral head affected by the AVN. Core decompression is used to treat early-stage AVN and helps relieve pressure in the bones. It also restores blood flow and reduces pain.
The goal of this condition is to stop the progression of AVN. Around 20-30% of people who undergo core decompression eventually require a total hip replacement. It can also be combined with stem cell therapy and other treatment options for better results.
Bone Grafting
Bone grafting is another surgical procedure of the AVN of hips. It is a procedure where the surgeon places a synthetic bone material or a healthy bone from elsewhere in your body or from the donor into the area of the femur head affected by the AVN. This transplant stimulates new bone growth.
Bone grafts may also be inserted into the hole or holes drilled for a core decompression procedure.
Osteotomy
Osteotomy is a procedure where the surgeon cuts into the femur and repositions it so your body weight is properly distributed to the parts of the bone that are healthy and capable of bearing weight.
Total Hip Replacement
Total Hip Replacement surgery is the final treatment option and is performed if the above-listed procedures do not improve your condition. The surgeon recommends a total hip replacement if the femoral head has collapsed or there is substantial damage to the hip joint. It is also performed in case of damage to the acetabulum. While other treatment options seek to preserve the patient’s own hip joint, a total hip replacement surgery aims to replace the damaged parts of the hips with man made components.
Before the procedure, you will be given general or spinal anaesthesia so that you don’t feel any pain or discomfort during the surgery.
- An incision will be made over the outside of the hip, cutting through the skin and muscle. The surgeon will make 1 or 2 small incisions of 3-4 inches each.
- They will use the best-uncemented implants to replace the damaged area.
Total hip replacement surgery in Delhi uses the latest technology and surgical approach that ensures quicker recovery. In most cases, the patients can walk the next day after the surgery.
What does Recovery after the Surgery Look Like?
You can recover from AVN of the hip with surgery. Depending on your response to the treatment, you will be made to stay in the hospital overnight or a few days after it. The recovery period demands taking special care of your body.
The recovery time varies, depending on the surgical option recommended by the doctor. You may be recommended physiotherapy to recover smoothly. It may take a few weeks to a few months to fully recover after the surgery.
What is the Cost of AVN Hip Replacement Surgery in Delhi?
The overall cost of AVN hip replacement surgery in Delhi is characterised by several conditions, including the type of surgery recommended, the hospital you choose, and the duration of your stay. The lowest cost of hip replacement surgery is 2.8 lakh, the average cost is 3.1 lakh and the highest cost of the surgery may go up to 3.5 lakh, respectively.
