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Minimally Invasive Hip Surgery Techniques for AVN

  • Writer: Dr S P Garg
    Dr S P Garg
  • Dec 31, 2025
  • 4 min read

Avascular necrosis (AVN) of the hip is a condition that can cause significant pain and limit mobility. It happens when the blood supply to the hip bone is reduced or cut off, leading to bone tissue death. If left untreated, AVN can cause the hip joint to collapse, making surgery necessary. Fortunately, advances in medical technology have introduced minimally invasive hip surgery techniques for AVN. These options offer less pain, quicker recovery, and smaller scars compared to traditional surgery.


In this post, I will walk you through the most common minimally invasive hip surgery techniques for AVN. I will also explain what you can expect during recovery and how these procedures can help you regain your quality of life.


Understanding Minimally Invasive Hip Surgery Techniques for AVN


Minimally invasive surgery means performing the operation through small incisions rather than large cuts. This approach reduces damage to muscles and soft tissues around the hip. It also lowers the risk of infection and speeds up healing.


For AVN, the goal of surgery is to relieve pain, preserve the hip joint, and prevent further bone damage. Here are some of the key minimally invasive techniques used:


  • Core Decompression: This is one of the earliest and most common procedures for AVN. The surgeon drills small holes into the affected bone to reduce pressure and create channels for new blood vessels to grow. This helps restore blood flow and promotes healing.


  • Bone Grafting: Sometimes, core decompression is combined with bone grafting. Healthy bone tissue is taken from another part of the body or a donor and placed into the damaged area. This supports bone regeneration and strengthens the hip.


  • Arthroscopy: This technique uses a tiny camera and instruments inserted through small incisions. It allows the surgeon to clean out damaged tissue and repair minor joint problems without opening the hip fully.


  • Minimally Invasive Total Hip Replacement: In advanced cases where the hip joint is severely damaged, a total hip replacement may be necessary. Minimally invasive methods use smaller incisions and special tools to replace the hip joint with an artificial implant.


Each of these techniques has its own benefits and suitability depending on the stage of AVN and the patient’s overall health. Your orthopedic surgeon will recommend the best option after a thorough evaluation.


Close-up view of a surgeon performing minimally invasive hip surgery
Minimally invasive hip surgery in progress

How Long Does It Take to Recover from Avascular Necrosis Hip Surgery?


Recovery time varies based on the type of surgery and individual factors like age and general health. Here is a general idea of what to expect:


  • Core Decompression and Bone Grafting: Patients usually stay in the hospital for 1 to 2 days. Weight-bearing on the affected leg is limited for 6 to 8 weeks to allow healing. Physical therapy starts soon after surgery to restore movement and strength. Most people return to normal activities within 3 to 6 months.


  • Arthroscopy: This is often an outpatient procedure, meaning you can go home the same day. Recovery is faster, with many patients resuming daily activities within a few weeks. Physical therapy helps improve hip function.


  • Minimally Invasive Total Hip Replacement: Hospital stay is typically 2 to 4 days. Early mobilization with the help of a physiotherapist is encouraged. Full recovery can take 3 to 6 months, but many patients experience significant pain relief and improved mobility within weeks.


During recovery, it is important to follow your surgeon’s instructions carefully. Avoid putting too much weight on the hip too soon. Attend all physical therapy sessions and maintain a healthy diet to support healing.


Benefits of Choosing Minimally Invasive Surgery for AVN


Choosing minimally invasive surgery for AVN has several advantages:


  • Less Pain: Smaller incisions mean less trauma to muscles and tissues, resulting in less postoperative pain.


  • Faster Recovery: Patients often regain mobility quicker and can return to work and daily activities sooner.


  • Reduced Scarring: Smaller cuts leave less noticeable scars, which can be important for personal comfort.


  • Lower Risk of Complications: Minimally invasive techniques reduce the chance of infection and blood loss.


  • Preservation of Hip Function: Procedures like core decompression aim to save the natural hip joint, delaying or avoiding the need for total hip replacement.


These benefits make minimally invasive surgery an attractive option for many patients with AVN. However, it is essential to have a detailed discussion with your orthopedic specialist to understand which technique suits your condition best.


Eye-level view of a modern orthopedic surgery room with advanced equipment
Orthopedic surgery room equipped for minimally invasive procedures

What to Expect Before and After Surgery


Before surgery, you will undergo a series of tests including X-rays, MRI scans, and blood work. These help the surgeon assess the extent of AVN and plan the procedure. You may also meet with a physiotherapist to discuss rehabilitation.


On the day of surgery, you will receive anesthesia to keep you comfortable. The operation time varies but usually lasts between 1 to 3 hours depending on the procedure.


After surgery, pain management is a priority. You will be given medications and instructions on how to care for your incisions. Early movement is encouraged to prevent stiffness and blood clots.


Physical therapy plays a crucial role in recovery. Exercises will focus on improving hip strength, flexibility, and balance. Your therapist will guide you through a gradual increase in activity.


Regular follow-up visits with your surgeon will monitor healing and address any concerns. Imaging tests may be repeated to check the progress of bone repair.


Taking the Next Step Toward Hip Health


If you are dealing with hip pain caused by AVN, exploring minimally invasive surgery options can be a hopeful step. These advanced techniques offer effective treatment with less disruption to your life.


At Dr. Garg Bone & Joint Clinic, we specialize in providing expert care for joint conditions using the latest surgical methods. Our goal is to help you regain mobility and return to your daily routine safely and quickly.


To learn more about the available avn hip surgery options, reach out to us for a consultation. Together, we can find the best path to restore your hip health and improve your quality of life.

 
 
 

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DR S P GARG -JOINT REPLACEMENT & ARTHROSCOPY SURGEON

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