Avascular Necrosis Treatment in Jaipur — Dr. Dheeraj Dubay
Avascular necrosis (AVN), also called osteonecrosis, is a serious condition where the blood supply to the femoral head is disrupted, causing bone cell death and eventual collapse of the hip joint. Dr. Dheeraj Dubay offers the full range of treatments for AVN in Jaipur — from joint-preserving core decompression in early stages to total hip replacement in advanced disease.
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24,000+ Surgeries
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What is Avascular Necrosis?
AVN occurs when the blood supply to the femoral head (the "ball" of the hip joint) is interrupted. Without adequate blood flow, bone tissue dies and the femoral head may collapse over months to years, leading to severe arthritis. AVN is classified in stages (I–IV) based on the extent of bone death and collapse. Early-stage AVN can sometimes be treated with joint-preserving surgery; advanced stages usually require hip replacement.
Causes and Risk Factors for AVN
- •Corticosteroid use — the most common cause, especially high-dose or long-term use
- •Alcohol overuse — second most common cause
- •Hip fractures or dislocations disrupting blood vessels
- •Sickle cell disease causing blood vessel blockage
- •Decompression sickness (in divers)
- •Blood clotting disorders (hypercoagulable states)
- •Radiation therapy near the hip
- •Autoimmune conditions like lupus
- •Idiopathic — no identifiable cause (20–30% of cases)
Symptoms of AVN
- ⚠Early stages may be completely asymptomatic
- ⚠Groin pain that may be sudden or gradual in onset
- ⚠Pain worsening with weight-bearing and improving with rest
- ⚠Limited range of hip motion
- ⚠Limping and difficulty walking long distances
- ⚠Eventual constant pain including at rest in advanced stages
Diagnosing Avascular Necrosis
X-rays often appear normal in early AVN. MRI is the most sensitive investigation for detecting early bone marrow changes before collapse occurs.
Treatment Options for AVN
Non-Surgical Options
- ✓Protected weight-bearing (crutches) to prevent further collapse in early stage
- ✓Bisphosphonate medications to slow bone loss
- ✓Hyperbaric oxygen therapy (limited evidence)
- ✓Pain management with analgesics and anti-inflammatories
- ✓Addressing underlying cause (stopping steroids, alcohol cessation)
Surgical Options
- →Core decompression — drilling to reduce pressure and stimulate new blood vessels (Stage I–II)
- →Core decompression with bone grafting and stem cell therapy
- →Vascularised fibular grafting — complex procedure for younger patients
- →Partial surface replacement for limited collapse
- →Total hip replacement — for Stage III–IV or failed previous procedures
Why Choose Dr. Dheeraj Dubay?
- ✓Early diagnosis expertise — catches AVN before collapse allows joint-preserving treatment
- ✓Experienced in core decompression and joint-preserving surgery for younger patients
- ✓Advanced techniques in total hip replacement for AVN with bone loss
- ✓24,000+ joint surgeries with expertise in complex hip cases
- ✓Staged management approach — maximising time before replacement for young patients
Frequently Asked Questions
Very early Stage I AVN occasionally stabilises with protected weight-bearing and treating the underlying cause. However, most cases progress and require surgical intervention. Core decompression in early stages can halt progression and preserve the joint.
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Ready to Walk Without Pain?
Book a consultation with Dr. Dheeraj Dubay today. Available at Shalby Hospital Vaishali Nagar and Dr. Dubay Hip & Knee Clinic, Vidhyadhar Nagar, Jaipur.