Before you
accept a hip
replacement.
Hip osteoarthritis and labral degeneration frequently respond to precision-delivered MSC therapy when caught before end-stage joint-space collapse. Whether your case qualifies is a physician decision made against your imaging.
Hip OA, labral tears, and accelerated degeneration after impingement or injury.
Hip response trends a little slower than knee. Peak 4–6 months.
All-in. Concierge transport, fluoroscopic delivery, IV adjunct, follow-up.
A well-evaluated hip
has options.
The hip is deep, well-vascularized, and forgiving of precision-delivered biologics when structure is still largely intact. When the femoral head has collapsed or joint space is fully obliterated, it isn't.
Patients who do best typically arrive with moderate radiographic OA, a labral tear, or post-impingement degeneration. Conservative care has plateaued; injections haven't held.
We evaluate imaging carefully before recommending anything. Avascular necrosis, advanced bone collapse, and end-stage joint-space loss are not strong MSC cases and we'll say so directly.
Moderate hip OA with preserved joint space
Kellgren–Lawrence II or III. Cartilage loss without full collapse.
Labral degeneration, post-FAI drift
Labral tears, femoroacetabular impingement sequelae, post-surgical hips that never settled.
Avascular necrosis, end-stage collapse
AVN with subchondral collapse and grade IV OA with bone-on-bone contact. Surgery is usually the right answer.
Hip conditions
we evaluate.
Hip OA (I–III)
Early to moderate hip osteoarthritis with partial joint-space preservation and no subchondral collapse.
- Grade II–III strongest
- Weight-bearing imaging read
- Femoral head integrity confirmed
Labral degeneration
Degenerative labral tears and post-repair hips that remain symptomatic despite conservative care.
- Degenerative tears
- Post-arthroscopy residuals
- Low-grade cartilage wear
FAI & early degeneration
Femoroacetabular impingement sequelae and accelerated drift after prior hip events.
- CAM / Pincer pathology
- Early cartilage wear
- Refractory groin pain
Fluoroscopic
intra-articular delivery.
The hip is deep. It requires image guidance. Every hip injection at Celva is done under fluoroscopy with contrast confirmation before cells are released.
Cells are allogeneic, donor-screened, expanded to passage three in our ISO-7 cGMP laboratory. Dose calibrated to the joint and your case.
Procedure runs under local anesthetic with light sedation at patient request. Most patients walk out same day and travel home the following morning.
Imaging review
MRI and X-ray with weight-bearing films. Read by attending physician.
Dose & route
Intra-articular dose, possible IV adjunct, and whether a second session at six months fits your case.
Fluoroscopic injection
Contrast confirms capsular position before release. Image-guided placement, non-negotiable for the hip.
Systemic IV
Second MSC dose via IV in the infusion suite for systemic anti-inflammatory support.
30 / 60 / 90 days
HOOS and VAS at each interval. Imaging re-read at six months.
Hip response
trends slower.
Soft tissue settles
Post-injection soreness resolves. Baseline pain often unchanged.
Measurable change
HOOS function begins improving. Stairs, socks, side-sleeping, functional markers shift first.
Peak window
Most patients reach best-achieved improvement between four and six months.
Durability
Registry shows many hip patients hold improvement for one to three years with attention to loading and activity.
The hip's deep position and weight-bearing load mean earlier wins are uncommon. Stability of load-bearing activity is the signal to watch at 90 days.
Avascular necrosis with collapse, grade IV OA with bone-on-bone contact, or severe dysplasia generally aren't MSC cases. If that's what your imaging shows, we'll tell you, and recommend a surgeon we trust.
Hip-specific
questions.
Q.01Can MSC therapy avoid hip replacement?
Q.02Why fluoroscopic guidance and not ultrasound?
Q.03How long before I can return to activity?
Q.04Does insurance cover this?
Other joint regions
we treat.
Start with a
real read.
A hip consult is a physician reading your imaging and telling you plainly whether MSC therapy fits your case. If it doesn't, we'll say so.