Hip replacement

Minimally invasive total hip replacement — direct anterior approach (DAA)

The direct anterior approach reaches the hip through a natural interval between muscles at the front of the thigh, without cutting major muscles. This is associated with faster early mobilisation, low dislocation risk and no strict post-operative movement restrictions for most patients. Few surgeons in Uttar Pradesh routinely offer this approach.

Dual mobility hip replacement

Dual mobility implants use two articulating surfaces to provide a greater effective range of movement and substantially reduced dislocation risk — particularly valuable for younger active patients, patients with neurological conditions, and revision situations.

Complex hip replacement

Some hips present far greater difficulty than routine arthritis: developmental dysplasia with a shallow or absent socket, ankylosing spondylitis with a fused stiff hip, healed tuberculosis, tumours around the hip, and hips damaged by old pelvis or acetabular fractures. These reconstructions demand specific planning, implants and experience, and form a defined part of this practice.

Avascular necrosis (AVN) of the hip

AVN — loss of blood supply to the femoral head — often affects young adults. Caught early, the natural hip can sometimes be preserved through core decompression, a technique on which Dr. Srivastava has co-authored a Springer-published book chapter (see joint preservation); in later stages, total hip replacement gives reliable relief. Staging on MRI determines which path applies to you.