Hip Replacement for AVN by Dr. Mayur Rabhadiya

Hip Replacement for AVN

Hip replacement for AVN is usually considered when avascular necrosis of the femoral head has progressed to femoral-head collapse, secondary hip arthritis, severe pain, stiffness or major walking limitation.

Avascular necrosis, also called AVN or osteonecrosis, is a condition where the blood supply to part of the femoral head is reduced. The femoral head is the ball of the hip joint. When its internal bone weakens, the joint surface may eventually flatten or collapse. Once collapse occurs, the hip joint may become painful, irregular and arthritic.

Hip replacement should not be advised for every AVN patient. Early AVN without collapse may still have joint-preserving treatment possibilities in selected cases. But when the femoral head has collapsed and the joint surface is damaged, hip replacement may become the more predictable option for pain relief and function.

Dr. Mayur Rabhadiya evaluates patients with AVN of the hip in Mumbai using a stage-specific approach. The focus is to determine whether the hip is still preservable or whether the disease has reached a stage where replacement is more appropriate.

Patients may consult for hip replacement for AVN if they have:

• AVN of the femoral head

• Femoral-head collapse

• Secondary hip arthritis

• Persistent groin pain

• Limping

• Reduced walking distance

• Hip stiffness

• Pain despite medicines or physiotherapy

• Failed core decompression

• Bilateral AVN

• AVN in a young adult

• Confusion about whether hip replacement is needed

• Advice for robotic hip replacement

• Need for a second opinion before surgery

Patients looking for broader AVN care may first read AVN Hip Treatment in Mumbai. Patients comparing surgery options may also read Hip Replacement Surgery in Mumbai, Total Hip Replacement in Mumbai, Robotic Hip Replacement in Mumbai, and Hip Replacement Surgeon in Mumbai.

What Is AVN of the Hip?

AVN of the hip is a condition in which the blood supply to the femoral head is impaired. The femoral head is the round ball at the top of the thigh bone that fits into the socket of the pelvis.

In a healthy hip, the femoral head remains round and smooth. In AVN, the internal bone may weaken. If the weakened part lies under the main weight-bearing surface, the joint may gradually fail.

AVN can progress through different stages:

• Early AVN with normal X-ray but MRI changes

• Pre-collapse AVN where the femoral head is still round

• Early collapse with subchondral fracture or flattening

• Advanced collapse with deformity

• Secondary hip arthritis after joint-surface damage

The treatment depends on the stage. This is the most important point in AVN care.

Early AVN is not the same as collapsed AVN. A patient with preserved femoral-head shape may be treated differently from a patient with a flattened, painful, arthritic hip.

Why AVN Is Different From Routine Hip Arthritis

Routine hip osteoarthritis usually develops gradually with age, cartilage wear or structural joint changes. AVN begins as a blood-supply problem inside the femoral head.

AVN is different because:

• It can affect younger adults.

• It can progress despite initially mild symptoms.

• Early X-rays may appear normal.

• MRI is often needed for early diagnosis.

• Both hips may be affected.

• The femoral head may collapse suddenly after a period of pain.

• Treatment changes significantly after collapse.

• Young patients need detailed implant and long-term planning.

Once AVN causes femoral-head collapse and secondary arthritis, the final joint problem may resemble advanced arthritis. At that stage, hip replacement may be considered.

Causes and Risk Factors for AVN

AVN may occur due to several reasons. Sometimes a clear cause is found. In some patients, no definite cause is identified.

Common associations include:

• Corticosteroid use

• Alcohol exposure

• Previous hip fracture or dislocation

• Autoimmune conditions

• Blood disorders

• Clotting disorders

• Organ transplant-related treatment

• Sickle cell disease

• Inflammatory disorders

• Idiopathic AVN

Patients should bring details of steroid treatment, previous injuries, medical conditions and previous AVN treatment during consultation.

Risk-factor control is important, but once the femoral head has collapsed, lifestyle changes alone cannot restore the damaged joint surface.

Symptoms Suggesting AVN Has Progressed

Early AVN may cause intermittent groin pain or deep hip discomfort. Advanced AVN usually causes more mechanical pain because the femoral head has lost its round shape.

Symptoms suggesting progression include:

• Pain with every step

• Limping

• Reduced walking distance

• Pain while standing

• Difficulty climbing stairs

• Difficulty sitting low

• Difficulty wearing socks or footwear

• Pain while getting in and out of a car

• Hip stiffness

• Night pain

• Rest pain

• Pain despite medicines

• Increasing dependence on a walking stick

• Loss of daily independence

When pain is mainly weight-bearing and imaging shows collapse, hip replacement discussion becomes more relevant.

Diagnosis Before Hip Replacement for AVN

Hip replacement for AVN should not be planned only from a report line saying “AVN present.” The surgeon must understand the disease stage and structural condition of the hip.

Clinical Examination

Dr. Mayur Rabhadiya evaluates:

• Pain location

• Walking pattern

• Limp

• Hip range of movement

• Pain during rotation

• Fixed deformity

• Limb length

• Muscle strength

• Abductor function

• Spine symptoms

• Knee symptoms

• Functional limitation

• Previous treatment response

• Medical fitness

• Patient expectations

The purpose is to confirm whether the hip joint is the main source of symptoms and whether the clinical disability matches the imaging.

X-Ray Evaluation

X-rays help assess whether the femoral head has collapsed or whether secondary arthritis has developed.

X-rays may show:

• Femoral-head sclerosis

• Cystic changes

• Crescent sign

• Flattening of the femoral head

• Collapse

• Joint-space narrowing

• Acetabular arthritis

• Limb-length change

• Deformity

• Bilateral disease

A pelvis X-ray with both hips is often useful because AVN may affect both sides.

MRI Evaluation

MRI is important for AVN staging, especially when X-rays are normal or early disease is suspected.

MRI can assess:

• Presence of AVN

• Size of the lesion

• Location of the lesion

• Whether the weight-bearing zone is involved

• Bone marrow edema

• Early subchondral fracture

• Femoral-head shape

• Joint fluid

• Secondary arthritis

• Whether the opposite hip is involved

For patients deciding between preservation and replacement, MRI can be critical.

CT Scan in Selected Cases

CT scan may be useful when the extent of collapse, bony deformity or acetabular involvement needs clearer assessment. It may also help in complex surgical planning.

AVN Staging and Treatment Decision

The most important decision in AVN is whether the femoral head is still structurally preserved.

Early AVN Without Collapse

In early AVN, the femoral head is still round. X-rays may be normal, and MRI may show the lesion.

Treatment may include:

• Monitoring

• Activity modification

• Protected weight bearing

• Medicines for pain control

• Physiotherapy for safe mobility

• Risk-factor correction

• Core decompression discussion in selected patients

Hip replacement is usually not the first treatment for early AVN unless symptoms, lesion size or other factors make preservation unsuitable.

Pre-Collapse Symptomatic AVN

In symptomatic pre-collapse AVN, the femoral head remains round, but the patient has pain and MRI shows a significant lesion.

Core decompression or other joint-preserving options may be considered in selected patients. The decision depends on lesion size, location, symptoms, patient age and risk factors.

Early Collapse

Once early collapse occurs, the decision becomes more nuanced. Some selected cases may still be discussed for joint-preserving treatment, but predictability decreases.

Factors that matter include:

• Degree of collapse

• Pain severity

• Joint-space condition

• Lesion size

• Acetabular cartilage status

• Patient age and function

• Expectations

Advanced Collapse or Secondary Arthritis

When the femoral head is flattened, the joint surface is irregular and arthritis has developed, hip replacement becomes more relevant.

At this stage, the problem is no longer only blood supply. The mechanical shape and surface of the hip joint have failed.

When Core Decompression May Not Help

Core decompression is a joint-preserving procedure used mainly in selected pre-collapse AVN. It is not meant to restore a severely collapsed femoral head.

Core decompression may be less useful when:

• The femoral head has already collapsed

• The lesion is large

• The weight-bearing area is extensively involved

• Secondary arthritis is present

• Joint space is narrowed

• Pain is severe and mechanical

• Hip stiffness is advanced

• The patient has significant deformity

• Previous core decompression has failed

Patients should be cautious about being advised repeated preservation procedures when imaging already shows collapse and arthritis.

The goal is not to avoid hip replacement at all costs. The goal is to preserve the natural hip when realistic and replace the joint when preservation is no longer likely to help.

When Hip Replacement Becomes More Reasonable in AVN

Hip replacement for AVN becomes more reasonable when there is structural joint failure and meaningful functional disability.

Important indicators include:

• Femoral-head collapse

• Secondary hip arthritis

• Severe groin pain

• Pain while walking

• Limping

• Reduced walking distance

• Night pain

• Rest pain

• Severe stiffness

• Difficulty climbing stairs

• Difficulty with footwear

• Difficulty getting in and out of a car

• Failure of appropriate non-surgical care

• Failed core decompression

• Quality of life significantly affected

The decision should be individualized. Surgery should not be done only because AVN is present. It should be considered when the AVN has damaged the joint enough to cause significant pain and functional limitation.

What Happens in Hip Replacement for AVN?

Hip replacement for AVN usually means total hip replacement. The damaged femoral head is removed, and the socket surface is prepared. Artificial components are inserted to reconstruct the ball-and-socket joint.

The main components include:

• Acetabular cup

• Liner

• Femoral stem

• Ball head

The aim is to reduce pain, restore stable movement and improve walking ability.

The operation does not replace the entire pelvis or the entire thigh bone. It replaces the damaged joint surfaces.

Read Total Hip Replacement in Mumbai for full procedure details.

Hip Replacement for AVN in Young Adults

AVN often affects patients younger than the typical age group for age-related arthritis. This makes counselling more detailed.

Young patients commonly ask:

• Am I too young for hip replacement?

• Can hip replacement last long enough?

• Will I need revision surgery later?

• Can I return to work?

• Can I travel?

• Can I exercise?

• Can I sit cross-legged or squat?

• Which implant is best?

• Is robotic hip replacement better?

• Can core decompression still help?

Young age alone should not prevent hip replacement when the femoral head has collapsed and the patient has severe pain or disability. However, young age does mean that implant choice, activity counselling and long-term follow-up must be discussed carefully.

Important issues include:

• Implant longevity

• Bearing surface selection

• Bone quality

• Activity modification

• Risk of future revision

• Work demands

• Sports expectations

• Bilateral disease

• Realistic functional goals

Read Hip Replacement in Young Adults.

Bilateral AVN and Hip Replacement Planning

AVN may affect both hips. Sometimes one hip is collapsed and painful while the other has early AVN on MRI. Treatment may differ between the two sides.

Bilateral AVN planning should consider:

• Which hip is more symptomatic?

• Has one hip collapsed?

• Is the other hip still pre-collapse?

• Is staged treatment needed?

• Can one hip be preserved?

• Is replacement needed on one side first?

• What is the patient’s walking capacity?

• What medical risk factors are active?

• How will recovery be managed at home?

Both hips should not automatically receive the same treatment. One side may need hip replacement while the other may be monitored or treated differently.

Robotic Hip Replacement for AVN

Robotic-assisted hip replacement may be considered when hip replacement is appropriate and patient-specific planning may add value.

In AVN patients, robotic planning may help assess:

• 3D anatomy

• Cup size

• Cup position

• Femoral planning

• Offset

• Leg-length targets

• Implant alignment

• Pelvic orientation

• Planned versus achieved component position

This may be useful in selected young adults, complex anatomy, bilateral disease, deformity, limb-length concerns or cases where reconstruction precision is especially important.

However, robotic technology does not treat early AVN. It does not restore blood supply to the femoral head. Its role is relevant only when replacement surgery is selected.

Robotic hip replacement should be explained honestly. It cannot guarantee:

• Zero pain

• Zero complications

• Perfect leg length

• No limp

• No infection

• No dislocation

• Faster recovery in every patient

• Lifelong implant survival

The robot assists the surgeon. It does not replace clinical judgment, surgical skill, implant selection or rehabilitation.

Read Robotic Hip Replacement in Mumbai.

Conventional Hip Replacement for AVN

Conventional hip replacement remains a valid and established option when planned and performed appropriately.

It may be suitable when:

• Anatomy is straightforward

• Robotic planning is not required

• Robotic technology is unavailable

• Cost is a major concern

• The surgeon’s judgment supports conventional planning

• The case does not need additional robotic assistance

The important question is not whether robotic surgery is always better. The important question is whether robotic assistance adds meaningful value for that specific AVN patient.

Implant Selection in Hip Replacement for AVN

There is no single best implant for every AVN patient.

Implant selection depends on:

• Age

• Bone quality

• Femoral canal shape

• Acetabular anatomy

• AVN stage

• Activity expectations

• Body weight

• Bilateral disease

• Risk of instability

• Previous surgery

• Primary or revision setting

• Cost and availability

• Surgeon experience with the implant system

Common bearing options may include:

• Ceramic head on highly cross-linked polyethylene

• Metal head on highly cross-linked polyethylene

• Ceramic-on-ceramic in selected cases

Fixation may be:

• Cementless

• Cemented

• Hybrid

Many younger AVN patients may be suitable for cementless fixation if bone quality and anatomy support it. However, this should not be generalized. The implant plan must be individualized.

More expensive does not automatically mean better. Newer does not automatically mean more suitable. The implant should match the patient’s anatomy, bone quality and expected function.

Hip Resurfacing for AVN

Some patients ask about hip resurfacing because it preserves more femoral bone than total hip replacement. However, hip resurfacing has strict selection criteria and is not suitable for many AVN patients.

Concerns may include:

• Femoral-head bone quality

• Size and location of AVN lesion

• Risk of femoral neck fracture

• Metal-on-metal bearing concerns

• Patient sex and anatomy

• Kidney function and metal ion monitoring

• Long-term suitability

For many AVN patients with collapse, total hip replacement is a more commonly considered option. Hip resurfacing should not be assumed to be better simply because the patient is young.

Hip Replacement After Failed Core Decompression

Some patients undergo core decompression for early AVN but later develop collapse and arthritis. If pain and disability become significant, hip replacement may be considered.

Hip replacement after failed core decompression may require review of:

• Previous surgical tract

• Femoral-head collapse

• Bone quality

• Lesion extent

• Joint-space condition

• Implant planning

• Limb length

• Patient expectations

A failed core decompression does not mean the patient did anything wrong. AVN can progress despite appropriate early treatment, especially with large lesions or ongoing risk factors.

Hip Replacement for Steroid-Related AVN

Steroid-related AVN may occur in patients who required corticosteroids for other medical conditions.

Before surgery, the surgeon may need to consider:

• Current steroid dose

• Underlying disease

• Infection risk

• Bone quality

• Wound healing

• Blood sugar control

• Medical fitness

• Coordination with treating physician

• Stress-dose steroid planning where applicable

These patients need careful medical optimization before hip replacement.

Hip Replacement for Alcohol-Associated AVN

Alcohol exposure is a known association with AVN. If alcohol use is ongoing, risk-factor modification is important.

Before hip replacement, counselling may include:

• Alcohol reduction or cessation

• Liver function assessment if needed

• Nutrition status

• Infection-risk assessment

• Bone health

• Anaesthesia fitness

• Rehabilitation readiness

Improving general health before surgery can reduce avoidable risk.

Hip Replacement for Post-Traumatic AVN

AVN may occur after hip dislocation, femoral neck fracture or previous surgery. Post-traumatic AVN can be more complex than routine AVN because anatomy may be altered.

Planning may need to consider:

• Previous fracture

• Previous implants

• Bone deformity

• Scar tissue

• Limb-length difference

• Hardware removal

• Infection history

• Bone loss

• Higher fracture risk

These cases require detailed imaging review and surgical planning.

Recovery After Hip Replacement for AVN

Recovery after hip replacement for AVN depends on age, preoperative disability, muscle strength, bone quality, surgical complexity, implant fixation, medical health and rehabilitation.

Early recovery usually focuses on:

• Pain control

• Wound care

• Safe walking

• Blood-clot prevention

• Muscle activation

• Fall prevention

• Hip precautions where advised

• Stair training

• Physiotherapy

• Gradual return to routine activities

Many patients begin assisted walking early when medically stable. However, confidence, strength and endurance may take several months to improve.

Young AVN patients often expect very rapid recovery. It is better to plan realistically. Surgery replaces the damaged joint surface, but muscles, gait, balance and confidence need rehabilitation.

Return to Work After Hip Replacement for AVN

Return to work depends on the type of work.

Patients with desk jobs may return earlier than patients whose work involves:

• Heavy lifting

• Long standing

• Repeated stair climbing

• Squatting

• Field work

• Driving long hours

• Manual labour

• Frequent travel

The plan should be individualized. A young patient with AVN may need counselling not only about walking but also about occupational demands.

Activity After Hip Replacement for AVN

After recovery, many patients return to walking, travel, swimming, cycling, controlled gym exercise and daily household activity.

However, a replaced hip should be protected.

Activities that may need caution include:

• High-impact running

• Repeated jumping

• Contact sports

• Unsafe twisting

• Heavy load lifting

• Deep squatting

• Sitting on very low surfaces

• Floor sitting

• High-risk adventure sports

The ability to sit cross-legged, squat, sit on the floor or return to demanding sport varies from patient to patient. These should not be promised before surgery.

Read Life After Hip Replacement.

Risks of Hip Replacement for AVN

Every hip replacement has risks. Young age does not remove risk. Robotic assistance does not eliminate risk.

Possible risks include:

• Infection

• Blood clots

• Pulmonary embolism

• Dislocation

• Fracture

• Bleeding

• Wound-healing problems

• Nerve injury

• Blood-vessel injury

• Leg-length difference

• Persistent pain

• Limp

• Implant loosening

• Bearing wear

• Medical complications

• Need for revision surgery

Risk may be influenced by:

• Diabetes control

• Smoking

• Alcohol use

• Steroid use

• Bone quality

• Body weight

• Previous surgery

• Infection risk

• Heart, lung or kidney disease

• Rehabilitation capacity

A good consultation should discuss individual risk rather than give generic reassurance.

Read Hip Replacement Risks and Complications.

Implant Longevity and Future Revision Risk

Patients with AVN are often younger, so implant longevity is an important discussion.

Modern hip replacement outcomes have improved, but no implant lasts forever in every patient. Younger and more active patients may place higher lifetime demand on the implant.

Long-term success depends on:

• Implant selection

• Surgical technique

• Bone quality

• Activity level

• Body weight

• Infection prevention

• Avoiding high-risk impact activities

• Follow-up

• Patient-specific factors

Future revision surgery may be needed if there is loosening, wear, infection, fracture, instability or other failure. This does not mean hip replacement should be avoided when the hip is severely damaged, but the patient should understand the long-term implications.

Cost of Hip Replacement for AVN

The cost of hip replacement for AVN depends on several factors.

These may include:

• Hospital

• Room category

• Implant system

• Bearing material

• Cemented or cementless fixation

• Robotic technology if used

• Primary or complex surgery

• Medical conditions

• Investigations

• Hospital stay

• Insurance coverage

• Physiotherapy

• Additional medical care if needed

AVN patients may also need MRI, CT scan or bilateral hip assessment. If previous core decompression or trauma surgery was done, planning may be more complex.

A final estimate usually requires clinical assessment, imaging review and hospital quotation.

Cost should not be the only factor in deciding treatment. The main priority is choosing the correct treatment for the stage of AVN.

Second Opinion Before Hip Replacement for AVN

A second opinion is useful when a patient is unsure whether hip replacement is necessary.

It can help clarify:

• Is the diagnosis definitely AVN?

• What stage is the AVN?

• Has the femoral head collapsed?

• Is there secondary arthritis?

• Is core decompression still useful?

• Is hip replacement being advised too early?

• Is hip replacement being delayed unnecessarily?

• Is robotic assistance useful?

• Which implant strategy is appropriate?

• What are the risks of waiting?

• What are the risks of surgery?

• What recovery should be expected?

A second opinion should give clarity, not pressure.

Read Hip Replacement Second Opinion in Mumbai.

When Hip Replacement May Not Be Needed for AVN

Hip replacement may not be needed when:

• AVN is early

• The femoral head is still round

• Symptoms are mild

• Joint space is preserved

• Lesion is small and non-progressive

• Non-surgical treatment is still reasonable

• Core decompression may be appropriate in selected cases

• Pain is mainly from the spine or another source

• Medical risk needs optimization first

In such cases, the treatment plan may involve monitoring, risk-factor control, protected activity, physiotherapy, medicines or joint-preserving options.

When Waiting May Be Risky

Waiting may become risky when:

• The femoral head has collapsed

• Pain is increasing

• Limping is worsening

• Walking distance is reducing

• The joint space is narrowing

• Secondary arthritis is present

• Pain is present at rest or night

• Non-surgical care no longer helps

• The patient is becoming dependent on pain medicines

• Daily independence is affected

Delaying surgery too long may lead to muscle weakness, reduced conditioning and more difficult recovery. The timing should be individualized.

Why Patients Consult Dr. Mayur Rabhadiya for Hip Replacement for AVN

Patients consult Dr. Mayur Rabhadiya for hip replacement for AVN because his approach focuses on staging, correct timing and realistic counselling.

His assessment focuses on:

• Confirming the AVN diagnosis

• Reviewing MRI and X-ray findings

• Identifying whether the femoral head has collapsed

• Differentiating early AVN from advanced AVN

• Considering joint preservation when realistic

• Avoiding unnecessary early hip replacement

• Recognizing when replacement becomes more predictable

• Explaining robotic and conventional options honestly

• Selecting implants according to age, anatomy and bone quality

• Discussing recovery, risks and long-term follow-up

• Supporting second opinions before major surgery

The objective is not to replace every AVN hip. The objective is to treat the right stage with the right strategy.

Frequently Asked Questions About Hip Replacement for AVN

Does every AVN patient need hip replacement?

No. Early AVN without femoral-head collapse may be managed with monitoring, activity modification or joint-preserving treatment in selected cases. Hip replacement becomes more relevant after collapse or arthritis.

When is hip replacement needed for AVN?

Hip replacement may be considered when AVN has caused femoral-head collapse, secondary arthritis, severe pain, stiffness, limping or major walking limitation.

Can core decompression avoid hip replacement?

Core decompression may help selected pre-collapse AVN patients, but it is less predictable after collapse or advanced arthritis. It cannot reliably restore a flattened femoral head.

Is MRI necessary before deciding treatment for AVN?

MRI is very useful for staging AVN, especially in early disease. It helps assess lesion size, location, collapse risk and whether both hips are involved.

Can AVN affect both hips?

Yes. AVN can affect both hips. One hip may be collapsed while the other is still early, so both sides may need evaluation.

Is hip replacement safe in young AVN patients?

Hip replacement may be appropriate in selected young patients with severe collapse and disability. The decision should include counselling about implant longevity, activity expectations and possible revision risk later in life.

Is robotic hip replacement useful for AVN?

Robotic assistance may help with planning and component positioning when hip replacement is indicated. It does not treat early AVN or restore blood supply to the femoral head.

Which implant is best for AVN hip replacement?

There is no universal best implant. Implant choice depends on age, bone quality, anatomy, activity expectations, diagnosis, stability risk and surgeon planning.

Can I walk normally after hip replacement for AVN?

Many patients improve walking after recovery, but results vary. Recovery depends on muscle strength, preoperative disability, surgical complexity, rehabilitation and patient-specific factors.

Can I sit cross-legged after hip replacement for AVN?

Some patients may be able to sit cross-legged after recovery, but it should not be guaranteed. It depends on implant stability, surgical approach, flexibility, body habitus and surgeon advice.

Can hip replacement for AVN last lifelong?

No implant can be guaranteed to last lifelong in every patient. Modern implants have improved, but younger and more active patients must understand long-term follow-up and revision possibility.

What happens if I delay hip replacement after collapse?

Delay may lead to worsening pain, stiffness, limp, muscle weakness and reduced quality of life. However, timing should be individualized after clinical and imaging assessment.

Should I take a second opinion before hip replacement for AVN?

A second opinion is reasonable, especially for young patients, bilateral AVN, early-stage disease, failed core decompression, or uncertainty about robotic surgery, implant choice or timing.

About Dr. Mayur Rabhadiya

Dr. Mayur Rabhadiya is an Orthopedic & Joint Replacement Surgeon in Mumbai.

His qualifications include:

• MBBS from LTMMC & GH, Sion Hospital

• D’Ortho from KMC, Hubli

• DNB Orthopedics from the National Board of Examinations, New Delhi

• MNAMS Orthopedics

• Fellowship in Robotic & Computer-Navigated Joint Replacement

His clinical practice includes total hip replacement, robotic-assisted hip replacement, AVN hip treatment, hip arthritis treatment, revision joint replacement assessment and patient-specific implant planning.

Surgery is recommended only when symptoms, functional limitation, examination, imaging and response to appropriate treatment support it.

Last medically reviewed: July 2026.

Book a Consultation for Hip Replacement for AVN

Patients with AVN of the hip, femoral-head collapse, persistent groin pain, limping, walking difficulty, failed core decompression or uncertainty about whether hip replacement is needed can consult Dr. Mayur Rabhadiya in Ghatkopar East or Ghatkopar West, Mumbai.

Appointments can be requested through the orthopedic doctor consultation page.

Call or WhatsApp: +91 84249 03913 / +91 96113 30063.

Medical References

This patient-education page is informed by current guidance and educational material from:

• American Academy of Orthopaedic Surgeons

• American Association of Hip and Knee Surgeons

• National Institute for Health and Care Excellence

• National Health Service

• Orthopedic literature on avascular necrosis of the femoral head, core decompression, total hip arthroplasty, robotic-assisted hip replacement, implant selection and revision joint replacement

Medical Disclaimer

This information is intended for general patient education and does not replace clinical examination, imaging review, anaesthetic assessment or personalised surgical advice.

Suitability for hip replacement for AVN depends on AVN stage, femoral-head collapse, arthritis severity, symptoms, functional limitation, age, medical health, bone quality, rehabilitation capacity and patient goals. No implant, surgical approach or robotic system can guarantee a particular outcome or eliminate all complications.