Joint preservation & reconstruction

Deformity correction — high tibial osteotomy (HTO)

In younger patients with arthritis confined to one side of a bowed knee, realigning the leg with a high tibial osteotomy shifts load onto the healthy side of the joint. Pain is relieved and the natural knee is preserved — often postponing replacement by many years, or avoiding it altogether.

Sports injuries of the knee — ACL, PCL, meniscus

Ligament reconstruction and meniscus repair are joint preservation in its purest form: an unstable knee grinds down its own meniscus and cartilage with every giving-way episode. Timely arthroscopic ACL, PCL and meniscus surgery restores stability and protects the joint's future.

Sports injuries of the shoulder — Bankart, rotator cuff, SLAP

The same principle applies at the shoulder: arthroscopic Bankart repair for recurrent dislocation, rotator cuff repair and SLAP repair stabilise the joint before repeated injury converts a repairable problem into arthritis.

Avascular necrosis (AVN) of the hip — core decompression

AVN — loss of blood supply to the femoral head — typically strikes young adults. In its early stages, core decompression can relieve pressure, restore blood flow and save the natural hip. Dr. Srivastava has co-authored a book chapter on core decompression for AVN of the hip, published by Springer — reference-grade academic literature in this field. Early MRI staging is decisive: the window for preservation closes as the disease advances, after which hip replacement becomes the reliable answer.

Pelvis & acetabular reconstruction

Accurate fixation of a fractured hip socket is joint preservation at its most demanding — a well-reduced acetabulum can spare a young patient a lifetime of hip replacements. This flagship area has its own dedicated page.