Surgical treatment options for avascular necrosis ( AVN ) in Indore

Surgical Treatment of AVN: Advanced Care in Indore

If you are suffering from persistent hip or joint pain, it might be due to Avascular Necrosis (AVN), a condition where the blood supply to the bone is reduced, leading to bone death.  

Early and timely Avascular Necrosis (AVN) treatment in Indore can help prevent joint collapse, relieve pain, and restore mobility.

 At Dr. Anupam Khandelwal’s clinic in Indore, we specialize in AVN treatment in Indore and provide advanced surgical care for patients from Bhopal, Ujjain, Ratlam , and other cities of Madhya Pradesh. With expert guidance,

Avascular Necrosis (AVN) treatment in Indore ensures the best approach to preserving your natural joint and improving long-term function.

Surgical Solutions for Avascular Necrosis (AVN) Treatment in Indore

Initially, conservative treatments such as medication and physiotherapy may provide relief in the early stages of the disease.

However, as the condition progresses, Avascular Necrosis (AVN) treatment in Indore often requires surgical intervention. Moreover, the primary objective of surgery is to preserve the natural joint, relieve pain, and restore normal joint function. Therefore, timely surgical treatment plays a crucial role in improving mobility, enhancing quality of life, and preventing further joint damage.

When Is Surgical Treatment required for Avascular Necrosis (AVN)?

Surgical treatment of AVN is recommended when:
  • Pain persists despite non-surgical treatments
  • The disease progresses to advanced stages
  • Imaging (X-ray, MRI) shows bone collapse or severe damage ; consequently, timely surgical treatment becomes essential.

Surgical interventions can be joint-preserving or joint-replacing, depending on the stage of AVN. Therefore Dr. Anupam Khandelwal customizes the treatment based on your age, lifestyle, and severity of AVN.

Major Surgical Options for Avascular Necrosis (AVN)

1. Core Decompression

What it is:

Core decompression is a minimally invasive surgical procedure in which a small portion of the inner bone is carefully removed to reduce pressure and improve blood circulation to the affected area. As a result, Avascular Necrosis (AVN) treatment in Indore often includes this procedure to help preserve the natural joint, reduce pain, and prevent further bone damage.

Who can benefit:
  • Early-stage AVN patients (before joint collapse)
  • Patients experiencing mild to moderate pain
Procedure:
  • A small incision is made in the affected bone, usually the hip.
  • The damaged inner bone is removed to create decompression channels.
  • This procedure promotes the growth of new blood vessels and supports bone healing.
Advantages:
  • Minimally invasive
  • Short hospital stay
  • Faster recovery compared to joint replacement

Patients from Indore, Bhopal, and Ujjain often prefer core decompression as the first step to avoid major surgery while preserving the natural joint. Core decompression is one of the early surgical options offered for avn treatment in Indore.

Diagram explaining core decompression surgery for Avascular Necrosis (AVN) treatment in Indore

1. Core Decompression

What it is:

Core decompression is a minimally invasive surgical procedure in which a small portion of the inner bone is carefully removed to reduce pressure and improve blood circulation to the affected area. As a result, Avascular Necrosis (AVN) treatment in Indore often includes this procedure to help preserve the natural joint, reduce pain, and prevent further bone damage.

Who can benefit:
  • Early-stage AVN patients (before joint collapse)
  • Patients experiencing mild to moderate pain
Procedure:
  • A small incision is made in the affected bone, usually the hip.
  • The damaged inner bone is removed to create decompression channels.
  • This procedure promotes the growth of new blood vessels and supports bone healing.
Advantages:
  • Minimally invasive
  • Short hospital stay
  • Faster recovery compared to joint replacement

Patients from Indore, Bhopal, and Ujjain often prefer core decompression as the first step to avoid major surgery while preserving the natural joint. Core decompression is one of the early surgical options offered for avn treatment in Indore.

Diagram explaining core decompression surgery for Avascular Necrosis (AVN) treatment in Indore

2. Bone Grafting (Vascularized or Non-Vascularized)

What it is:

Bone grafting involves replacing damaged bone with healthy bone tissue, either taken from the patient’s own body or from a donor. Additionally, this procedure strengthens the affected area and promotes natural bone healing. As a result, Avascular Necrosis (AVN) treatment in Indore often includes bone grafting to preserve the joint, slow disease progression, and prevent further joint damage.

Types:
  • Non-vascularized graft: Simple replacement of dead bone
  • Vascularized graft: Transplant includes blood vessels, improving bone healing and survival
Who can benefit:
  • Early to mid-stage Avascular Necrosis  AVN patients
  • Patients with small to medium-sized bone lesions
Procedure:
  • Dead bone is removed
  • Healthy bone is placed to fill the defect
  • Promotes healing and restores joint function
Advantages:
  • Preserves natural joint
  • Improves blood supply to bone
  • Reduces risk of future joint collapse
Diagram showing types of bone grafting (Vascularized & Non-Vascularized) surgery for (AVN).

3. Osteotomy

What it is:

Osteotomy involves carefully cutting and realigning the bone to reduce stress on the affected area. As a result, this procedure helps redistribute body weight more evenly across the joint. Therefore, Avascular Necrosis (AVN) treatment in Indore may include osteotomy to delay further joint damage, relieve pain, and reduce the need for early joint replacement surgery.

Who can benefit:
  • Young patients with localized AVN
  • Patients with early joint damage but intact cartilage
Procedure:
  • The bone is cut and carefully repositioned.
  • This helps redistribute weight and joint pressure more evenly.
  • As a result, it protects the joint from further damage.
Advantages:
  • Delays the need for total joint replacement
  • Preserves natural movement
  • Suitable for younger, active patients
Diagram showing osteotomy surgery for joint preservation in Avascular Necrosis (AVN)

4. Total Hip Replacement (THR)

What it is:

Total hip replacement is a surgical procedure where the damaged hip joint is replaced with an artificial joint.

Who can benefit:
  • Advanced AVN with joint collapse
  • Severe pain affecting daily activities
  • Patients not responding to joint-preserving surgeries; as a result, total hip replacement or other advanced procedures become necessary.
Procedure:
  • Damaged femoral head and acetabulum are removed
  • Artificial components are implanted
  • Joint movement and stability are restored
Advantages:
  • Immediate pain relief
  • Restores mobility and function
  • Long-lasting results with modern implants
Total Hip Replacement procedure for Avascular Necrosis (AVN) treatment in Indore

5. Other Advanced Procedures

Stem Cell Therapy with Surgery:

Stem Cell Therapy combined with Surgery supports the regeneration of healthy bone tissue when used alongside surgical decompression. As a result, it accelerates healing, improves recovery, and helps preserve the joint over the long term.

Minimally Invasive Hip Surgery

Minimally Invasive Hip Surgery uses smaller incisions and advanced techniques. Therefore, it results in less post-operative pain, minimal tissue damage, and a faster recovery compared to traditional surgery.

How to Decide Which Surgery is Right?

The choice of surgery depends on:
  • Stage of AVN (early, mid, or advanced)
  • Age and activity level of the patient, which is considered when planning avn treatment in Indore.
  • Size and location of the bone lesion, as this impacts the surgical approach.
  • Overall health and medical condition, ensuring the selected procedure is safe and effective.

Dr. Anupam Khandelwal carefully evaluates each patient individually using MRI, X-ray, and clinical examination. Based on these findings, he recommends the most effective surgical approach for Avascular Necrosis (AVN) treatment in Indore, ensuring optimal joint preservation and long-term pain relief.

Recovery After AVN Surgery

Recovery depends on the type of surgery:

Core Decompression / Bone Grafting :

Partial weight-bearing for 4-6 weeks, followed by physiotherapy.

Osteotomy:

6-8 weeks of limited activity, gradual return to normal function.

Total Hip Replacement :

3-6 months for full recovery, with rehabilitation to regain strength and mobility

Furthermore, patients undergoing Avascular Necrosis (AVN) treatment in Indore receive personalized post-operative care designed to support faster healing and optimal recovery.

Tips for smooth recovery:

1. Follow post-operative instructions strictly . 

2. Attend physiotherapy sessions .

3. Maintain a balanced diet for bone health . 

4. Avoid high-impact activities until cleared by your surgeon .

Avascular Necrosis (AVN) Treatment in Indore

Avascular Necrosis (AVN) treatment in Indore emphasizes early diagnosis and timely care to prevent joint collapse. With advanced medical facilities and expert orthopedic guidance, patients receive effective treatment focused on pain relief, joint preservation, and improved mobility.

Hindi Summary

एवस्कुलर नेक्रोसिस (AVN) के मरीजों के लिए सर्जिकल उपचार विकल्प अत्यंत महत्वपूर्ण भूमिका निभाते हैं। हालांकि, बीमारी की शुरुआती अवस्था में आमतौर पर कोर डीकंप्रेशन या बोन ग्राफ्टिंग जैसे जॉइंट-सेविंग प्रोसीजर किए जाते हैं। वहीं, जब रोग एडवांस स्टेज में पहुँच जाता है, तो हिप रिप्लेसमेंट सर्जरी की आवश्यकता पड़ सकती है। इसके अलावा, मरीज की उम्र, जीवनशैली और समग्र स्वास्थ्य को ध्यान में रखते हुए उपचार योजना को व्यक्तिगत रूप से अनुकूलित किया जाता है। इस प्रकार, डॉ. अनुपम खंडेलवाल, इंदौर में, AVN मरीजों को सुरक्षित और प्रभावी इलाज प्रदान करते हैं, जिससे न केवल दर्द में कमी आती है बल्कि जोड़ों की कार्यक्षमता भी लंबे समय तक बनी रहती है।

Swahili Summary

Matibabu ya upasuaji kwa AVN ni muhimu kwa wagonjwa wenye maumivu makali ya nyonga au viungo. Hata hivyo, hatua za awali za upasuaji ni core decompression au bone grafting, wakati kwa kesi zilizoendelea, hip replacement inahitajika. Zaidi ya hayo, Dk. Anupam Khandelwal huko Indore hutoa matibabu salama na yenye ufanisi kwa wagonjwa kutoka Indore, Bhopal, Ujjain, na miji mingine ya Madhya Pradesh.

Frequently asked questions
1. What precautions should you take after AVN surgery?

Avoid full weight bearing, follow physiotherapy, take medicines regularly, and avoid sudden movements.

Early walking, pain control, blood thinners, wound care, and regular physiotherapy are essential.

Recovery usually takes 6 weeks to 6 months depending on the type of surgery.

Do not bend your hip more than 90 degrees to prevent joint dislocation.

Sleep on your back or non-operated side with a pillow between the legs.

Avoid crossing legs, sitting on the floor, bending forward, or twisting suddenly.

Start early walking, take blood thinners, and do leg exercises regularly.

Strict physiotherapy, healthy diet, and regular follow-up ensure faster recovery.

Core decompression with stem cell therapy is a newer joint-preserving option. For anyone seeking avn treatment in Indore, it is important to follow post-surgical precautions.

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