AVN of Hip / Preservation

Saving the hip before it needs replacement.

Avascular necrosis (AVN) is loss of blood supply to the femoral head leading to bone collapse and arthritis. Early diagnosis is critical — timely surgery can preserve the joint if done before collapse.

What Is AVN?

AVN progresses from reduced blood flow to bone collapse. MRI detects early stages even when X-rays are normal. The goal is to halt progression and preserve the native hip where possible.

Our Treatment Approach

  • Early Stages: Core decompression with possible stem-cell or bone-graft augmentation to restore blood flow.
  • Late Stages: Total hip replacement (THR) if the joint surface has collapsed.
  • Medical Optimization: Address alcohol use, steroid exposure, and lipid control to reduce risk of progression.

Why StepUp Joints?

  • Experienced hip-preservation surgeons with MRI-based staging.
  • Access to biologic options (autologous stem-cell techniques).
  • Integrated rehab and monitoring to delay or avoid replacement.

FAQs

Can AVN be reversed?
Only in early stages; the main goal is to prevent progression and collapse.
Is stem-cell therapy effective?
Evidence supports benefit in stage I–II AVN when done with proper technique and patient selection.
How soon can I return to weight bearing?
Usually after 4–6 weeks with a gradual increase, depending on the procedure and healing.

Think you might have early AVN?

Get MRI-based staging and a personalized hip-preservation plan.