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Do You Also Suffer From Hip Bone Pain? | Hip Replacement

Dr. Abhijit Agashe, a joint replacement surgeon at Sahyadri Hospital, discusses hip joint pain and advancements in hip replacement surgery, particularly the Direct Anterior Approach. He explains how issues in the hip joint, especially following COVID-19, are becoming more common, often due to a condition called Avascular Necrosis (AVN).

Hip replacement becomes necessary when:

• X-rays and MRIs reveal advanced damage, classified as Stage Four.
• The hip joint cartilage and bone experience significant wear, causing pain even with minimal movement.
• Daily activities, such as walking, climbing stairs, and sitting cross-legged, become severely painful and difficult.

Young patients, often between the ages of 30 and 50, are especially affected, as AVN limits their mobility and impacts their personal and professional lives.

Dr. Agashe highlights the Direct Anterior Approach, a newer technique with distinct benefits over traditional hip replacement methods. The primary advantages include:

• Minimal Movement Restrictions Post-Surgery: Unlike traditional methods, patients can sit cross-legged, participate in sports, and use Indian-style toilets about three months post-surgery.
• Muscle Preservation: In the Direct Anterior Approach, muscles are not cut but gently pushed aside, allowing access to the hip. This leads to faster recovery and less post-surgical discomfort.

Smaller Incision: Unlike older techniques, which required a large incision of 15–20 cm, the Direct Anterior Approach requires a much smaller incision, reducing scarring and aiding faster healing.

The Direct Anterior Approach is an effective and minimally invasive technique for hip replacement, offering patients a chance to regain their mobility and quality of life. For those with persistent hip pain or AVN, consulting with an orthopaedic specialist can provide valuable insights on the most suitable treatment.