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Dr Shivam Shah | +91 9664878168 | Sunshine Global Hospital, OPD 7, nr. Shreyas Vidhyalay, near ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390011

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HOME  >  SURGERIES  >  Minimally Invasive Hip Replacement

MINIMALLY INVASIVE HIP REPLACEMENT

Robotic Hip Replacement is a minimally invasive hip joint surgery assisted by a robotic arm or navigation system. The technology does not replace the surgeon — it enhances their ability with 3D visualisation, real-time feedback, and sub-millimetre precision. This allows for accurate bone preparation, optimal implant positioning, and a more natural hip motion after recovery.

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ABOUT THE AUTHOR

Dr. Shivam Rajivkumar Shah

Dr. Shivam Shah is an Orthopaedic Surgeon specialising in arthroscopy, joint replacement, and foot & ankle surgery. A gold medallist in MBBS and MS (Orthopaedics), he has trained internationally and has multiple publications and award-winning presentations to his credit.

📧 Email: shivam.shah92@gmail.com
📞 Phone: +91 9664878168, +91 9662820631

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1. What is Avascular Necrosis?

Avascular Necrosis (AVN) of the hip, also known as osteonecrosis, is a condition where the blood supply to the femoral head (ball of the hip joint) is reduced or lost. Without blood flow, bone cells die, the hip weakens, and over time the joint can collapse, causing severe hip pain, stiffness, and arthritis.

1.1. Causes of AVN Hip

  • Trauma/Injury – Hip fractures or dislocations damaging blood vessels.

  • Steroid Use – High-dose, long-term corticosteroid treatment.

  • Excessive Alcohol – Blocks blood flow to the bone.

  • Medical Disorders – Sickle cell disease, clotting problems, autoimmune disorders.

  • COVID-19 Infection – Recent reports show that COVID infection and/or its treatment (especially steroids) may trigger AVN in some patients.

  • Unknown Cause (Idiopathic) – Sometimes the exact reason is not clear.

1.2. Symptoms

  • Gradual hip or groin pain.

  • Pain worsens with activity (walking, climbing stairs).

  • Stiffness and reduced range of movement.

  • Night/rest pain in advanced cases.

1.3. Diagnosis

  • X-ray – Detects late-stage AVN.

  • MRI – Best for early detection.

  • CT Scan – Detailed bone structure if required.

1.4. Treatment Options

  • Early Stage AVN

    • Medications and pain relief.

    • Walking aids to reduce stress on the hip.

    • Physiotherapy for mobility.

    • Core decompression surgery – small holes drilled into bone to restore blood supply.

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  • Advanced Stage AVN

    • Bone grafting or stem cell/bone marrow concentrate injections.

    • Osteotomy (realignment surgery).

    • Hip Replacement Surgery – When the joint collapses, replacement is the best option.

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2. Minimally Invasive Hip Replacement: Direct Anterior Approach

In patients with advanced AVN, the most effective treatment is Total Hip Replacement (THR). The Direct Anterior Approach (DAA) is a modern, minimally invasive technique where the hip is replaced through a small incision at the front of the hip, instead of cutting through major muscles.

2.1. Advantages of Direct Anterior Approach

  • Less muscle damage (muscles are spread, not cut).

  • Smaller incision and faster healing.

  • Less pain after surgery.

  • Shorter hospital stay.

  • Faster return to daily activities.

  • Lower risk of hip dislocation.

3. Frequently Asked Questions

Best Join Replacement Surgeon in Vadodara

Video Materials to learn more about AVN & Hip Replacement

Hip Pain Explained: Avascular Necrosis (AVN) Causes, Symptoms & Diagnosis | Dr. Shivam Shah

AVN of Hip & DAA MIS Hip Replacement Explained – By Dr. Shivam Shah

Hip Replacement FAQs Explained by Dr. Shivam Shah | Surgery, Implants, Longevity & Recovery

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Living with Hip Pain?
Let’s Work on Easing It Together.

Dr. Shivam Shah, Consultant Joint Specialist at Sunshine Global Hospital, Vadodara, offers advanced solutions for hip pain with expertise gained from global fellowships in Germany, Singapore, South Korea, and Austria. Combining world-class techniques with compassionate care, he helps patients regain mobility and improve their quality of life.

OR CALL: +91-84691-22777

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