Total Hip Replacement and AVN Management

The hip joint is the pivot point for your body’s movement. When it is damaged by severe arthritis, ankylosing spondylitis, or AVN, simple actions like walking, sitting cross-legged, or getting out of a car become agonizing. At 206 Reasons Orthocare, our Total Hip Replacement protocol is designed to not just eliminate pain, but to restore your independence and gait.

The Procedure: Precision & Stability

Dr. Ruchit Shah performs Total Hip Replacement by removing the damaged “ball and socket” and replacing them with high-grade artificial components.

• The Approach: We utilize Minimally Invasive Techniques (MIS) wherever safe. This spares key muscles (like the glutes), leading to less limping and a faster return to walking.

• The Implant: We select implants based on your age and bone quality. For younger, active patients, we often use Ceramic-on-Ceramic bearings, which have the lowest wear rates and can last 20–25+ years.

• Stability Check: Intra-operative testing is done to ensure the hip is stable enough to allow for a full range of motion—crucial for patients who wish to sit comfortably or use Indian-style toilets (though we advise caution with extreme positions).

Recovery Protocol

• Day 1: Most patients stand and walk with support within 24 hours.

• Discharge: typically within 3–4 days.

• Pain Control: A multi-modal pain management plan ensures you are comfortable without heavy sedation.

2. Avascular Necrosis (AVN) Management

“Save the Hip” vs. “Replace the Hip”

Avascular Necrosis (death of bone tissue due to lack of blood supply) is increasingly common, especially in younger adults post-COVID or due to steroid use. Dr. Ruchit Shah’s approach at 206 Reasons Orthocare is strictly staged based on the disease progression.

Stage 1 & 2: Joint Preservation (The “Save” Strategy)

If caught early (before the femoral head collapses), our priority is Joint Preservation Surgery. We fight to save your natural bone.

• Core Decompression: Dr. Shah drills small channels into the dead bone to reduce pressure and stimulate new blood vessel growth.

• Biobiological Augmentation (Stem Cells/BMAC): Often combined with decompression, we may inject your own bone marrow concentrate into the area to accelerate healing and regenerate bone.

• Goal: To stop the disease in its tracks and prevent the need for a hip replacement in the future.

Stage 3 & 4: Total Hip Replacement (The “Restore” Strategy)

If the femoral head has already collapsed, preservation is no longer viable. In these cases, we proceed to Total Hip Replacement (as described above).

• Special Note for AVN Patients: Since AVN patients are often younger (30s and 40s), Dr. Shah uses uncemented implants with biological fixation, allowing your own bone to grow into the implant for a permanent, lifetime bond.

Why 206 Reasons Orthocare?

• Diagnosis Matters: We distinguish between “hip pain” (groin) and “back pain” (buttock), which are often confused.

• Implants for Life: We use US-FDA approved implants (like Stryker, Zimmer, or J&J) designed for longevity.

• Honest Counseling: If your AVN is early-stage, we will never rush you into a replacement. If it is late-stage, we won’t waste your time with temporary fixes.