Bariatu, Ranchi · Open 24 hours
Home / Orthopaedics / AVN of the Hip
Condition / Hip

Avascular necrosis (AVN) of the hip in Ranchi.

Groin or hip pain that’s steadily worsening, especially if you’ve taken steroids or have sickle cell? Avascular necrosis is a serious but treatable cause — and caught early, the hip can often be saved.

In short: Avascular necrosis (AVN, or osteonecrosis) is the death of bone in the femoral head when its blood supply is cut off — often linked to steroids, alcohol, sickle-cell disease or injury. It causes worsening hip/groin pain and, untreated, the joint collapses. At Medifirst, Bariatu, early AVN may be treated with core decompression to save the hip; advanced AVN is treated with hip replacement.
Save the joint if caught earlyMRI detects it earlyCommon with steroids / sickle cellCashless insurance
Quick answers

AVN of the hip, in brief

What is it

Death of bone in the hip’s ball when its blood supply is cut off (osteonecrosis).

Causes

Steroids, alcohol, sickle-cell disease, injury, or sometimes no clear cause.

Why it matters

Untreated, the femoral head collapses and the joint is destroyed — so early diagnosis matters.

Treatment

Core decompression to save an early hip; hip replacement for advanced AVN.

01 / Understanding it

What AVN is, and why early matters

Avascular necrosis (AVN), also called osteonecrosis, is what happens when the blood supply to a bone is interrupted and the bone tissue dies. In the hip, it affects the femoral head — the ball of the ball-and-socket joint — and it is one of the more serious causes of hip pain in younger adults.

Common links are long-term or high-dose steroids, significant alcohol use, sickle-cell disease, and injury (such as a hip fracture or dislocation); sometimes no cause is found. The first symptom is usually groin or hip pain that steadily worsens, at first on weight-bearing and later at rest. An MRI detects AVN early, often before an X-ray shows anything.

Why early diagnosis matters so much: if AVN is caught before the bone collapses, procedures like core decompression can relieve pressure, improve blood flow and potentially save the natural hip. Once the femoral head has collapsed and the joint is damaged, the reliable solution is a hip replacement — which, done well, restores a pain-free, mobile hip.

02 / Is treatment right for you?

Which treatment, and when?

The right treatment depends entirely on the stage — which is why getting assessed early is so important.

Joint-saving treatment may be possible if

  • AVN is diagnosed early, before the bone collapses
  • The femoral head is still round on imaging
  • Pain is present but the joint is not yet destroyed
  • You are younger and keen to preserve the natural hip
  • There is a treatable underlying cause to address

Hip replacement is advised if

  • The femoral head has collapsed
  • There is established arthritis in the joint
  • Pain is severe and constant, limiting life
  • Joint-saving options are no longer suitable
AVN linked to sickle-cell disease is managed alongside the underlying condition — our team coordinates both.
03 / Treatment

How AVN of the hip is treated

Matched to the stage — saving the hip early, replacing it when needed.

MRI diagnosis & staging

An MRI detects AVN early and stages it, which decides the treatment.

Addressing the cause

Reducing steroids or alcohol where possible, and managing sickle cell, to protect the bone.

Core decompression

Drilling to relieve pressure and improve blood flow — can save an early-stage hip.

Protected weight-bearing

Offloading the hip and medication in selected early cases.

Linked

Hip replacement

For a collapsed or arthritic joint — a durable, pain-free, mobile hip.

Rehabilitation

Guided recovery to restore strength and movement after treatment.

04 / Recovery

What to expect

The path depends on the stage — and on catching AVN before the joint collapses.

Diagnosis
An MRI confirms and stages AVN, and the cause is identified where possible.
Early stage
Core decompression and addressing the cause aim to save the natural hip.
Recovery (joint-saving)
Protected weight-bearing and rehabilitation as the hip recovers.
Advanced stage
Hip replacement restores a pain-free, mobile joint — walking the next day.
Long term
Follow-up and management of the underlying cause to protect the other hip.
05 / Who treats you

Two senior surgeons, one hospital

You are treated by a named consultant, with operating theatres, imaging, intensive care and cashless insurance under one roof at Medifirst, Bariatu.

4.9★4.9★ / 226 Google reviews for Dr. Ankur Saurav · 240+ for Dr. Kumar Vishal. Real, verified patient reviews.
“Despaired after my accident, Dr. Ankur Saurav gave me hope and bolstered my confidence to work again like before.”
Sandeep Biswas · via Google →
“He listened patiently, explained the problem clearly, and guided us with the right treatment. Very polite and caring.”
Aman Kumar · via Google →
06 / Transparent cost

AVN treatment cost in Ranchi

Depends on the stage decompression to replacement

Early joint-saving surgery (core decompression) costs less than a hip replacement; advanced AVN needing replacement sits within our hip replacement range. Either way you receive a clear, itemised estimate before surgery, with cashless insurance at Medifirst.

  • • Stage of AVN and treatment needed
  • • Core decompression vs hip replacement
  • • Implant, if a replacement is needed
  • • Hospital and room category
  • • Surgeon, anaesthesia and stay
  • • Health insurance & cashless cover
07 / Your questions, answered

AVN questions, answered

What causes avascular necrosis of the hip?
AVN is caused by loss of blood supply to the femoral head. Common links are long-term or high-dose steroids, significant alcohol use, sickle-cell disease, and injury such as a hip fracture or dislocation; sometimes no cause is found.
Can AVN of the hip be treated without a replacement?
Yes, if caught early — before the bone collapses. Core decompression relieves pressure, improves blood flow and can save the natural hip. Once the joint has collapsed, hip replacement is the reliable solution.
How is AVN diagnosed?
An MRI is the key test — it detects AVN early, often before an X-ray shows any change, which is important because early treatment can save the joint.
I have sickle cell and hip pain — could it be AVN?
Sickle-cell disease is an important cause of hip AVN, so persistent or worsening hip or groin pain should be assessed, ideally with an MRI, so it can be caught and treated early.
Is hip replacement for AVN successful?
Yes. For advanced AVN with a collapsed or arthritic joint, hip replacement reliably restores a pain-free, mobile hip, with most patients walking the day after surgery.
Is AVN treatment covered by insurance?
Most health-insurance policies cover both joint-saving surgery and hip replacement, with cashless facility at Medifirst and a clear estimate before surgery.

Worsening hip or groin pain?

If you’ve taken steroids, or have sickle cell, don’t wait — early diagnosis can save the hip. Send your MRI on WhatsApp, or call us at Medifirst, Bariatu.