Will the pelvic acetabular fracture not die of the femoral head after healing

It is highly likely to lead to necrosis of the femoral head, due to the fracture causing local and peripheral arterial blood supply to the femoral head, venous return is blocked, and necrosis of the femoral head due to ischemia and oxygen loss.

Analysis: Hello, the possibility of suffering from femoral head necrosis in this case is very small, because the main cause of femoral head necrosis is femoral neck fracture, not acetabular fracture.

Guidance: Because a femoral neck fracture will destroy the blood circulation of the femoral head, it will lead to necrosis, while an acetabular fracture will not cause the destruction of blood vessels, so it will generally not cause necrosis of the femoral head, rest assured.

Problem analysis: Your case is an acetabular fracture, according to your description, the acetabular fracture is not very serious, and it should not cause necrosis of the femoral head. Suggestions:

Hello, according to your description belongs to hip arthritis. Guidance: After the hip fracture heals, it can often lead to rough articular surface and excessive exercise, which can lead to aggravated wear and tear of the articular surface, resulting in soreness and pain. **The above is to reduce the amount of exercise, and the local physiotherapy hot compress accelerates the local blood circulation to promote the absorption of inflammation.

If the inflammation continues to develop, it can affect the blood in the hip joint**, which can cause necrosis, and there is no sign of necrosis on the current examination.

Analysis: 1. Hello, your situation has been understood.

Guidance: The purpose of taking medicine for femoral head necrosis is only to relieve the pain symptomatically, and if you want to be thorough, the best way and the most common thing to do at present is surgery: joint replacement. It's hard to do it any other way**. Surgery is recommended after evaluation based on the sum of x-rays and clinical symptoms**.

Summary. Bilateral femoral head necrosis replacement surgery takes about a month to recover. Hip preservation**For moderate femoral head necrosis, hip preservation is the option of core decompression or fibular flap grafting.

The recovery time after surgery is about one month. The fusion time of the fibular flap with the cancellous bone of the femoral neck is about four weeks, and it basically returns to normal after four weeks.

How long does it take to recover from a fracture caused by total hip replacement due to necrosis of the femoral head.

Bilateral femoral head necrosis replacement surgery takes about a month to recover. Hip preservation**For moderate femoral head necrosis, hip preservation is the option of core decompression or fibular flap grafting. The recovery time after surgery is about one month.

The fusion time of the fibular flap with the cancellous bone of the femoral neck is about four weeks, and it basically returns to normal after four weeks.

Unilateral necrosis of the femoral head has been performed with total hip replacement.

One month to recover.

Intraoperative complications, fractured bones of the femoral stem, how long does it take to recover?

Then this one will take about two months.

The wire rope is fixed internally.

About two months.

Can I walk on the ground for about two months?

If the fracture heals in the later stage, does the wire rope still need to be surgically removed?

It has to be taken out after healing.

The acetabulum forms the hip joint with the femoral head, which is connected to the femoral shaft by the femoral neck. Its nutrition is mainly in the femur. The femoral head is coarse and the femoral neck is relatively small as a nutrient transport channel, so the injury of the femoral neck can directly cause necrosis of the femoral head.

In addition, any damage that may cause blood and nutrition in the femoral head may lead to chronic necrosis of the femoral head.

The main causes of necrosis of the femoral head are as follows:

1.Fracture of the femoral neck or femoral shaft, which directly causes ischemia of the femoral head, is the main cause of necrosis of the femoral head.

2.Other hip injuries** cause long-term blood circulation around the femoral head. (However, the chance of femoral head necrosis is lower than that of femoral neck fractures.) ）

3.A large number of hormones are used, and long-term use of prednisone, cortisone, dexamethasone and other hormonal drugs affects the hematopoietic function of bone marrow.

4.Long-term heavy drinking, especially liquor, can cause chronic necrosis of the femoral head due to the accumulation of alcohol in the body, increased blood viscosity, slowing down blood vascularity, or the formation of fat embolism.

Clinical manifestations of femoral head necrosis:

1.Early stage: mainly pain, the affected side begins to appear dull pain, or pinprick pain, dull pain, etc.

Pain worsens with activity. Hip joint mobility, hip flexion, adduction, limited abduction, and evident when squatting. Most of the pain is around the hip joint and on the anteromedial aspect of the thigh.

X-rays show rough edges of the femoral head.

2.Medium-term: Pain gradually worsens, claudication, difficulty squatting, pain in standing for long periods of time, severe limitation of hip joint movement, x-ray shows incomplete margins and flat shape of the femoral head, loss of trabecular structure, uneven bone density, widening or narrowing of the space between the acetabular and femoral heads.

3.Late-stage: severe hip dysfunction, stiffness of the affected limb, difficulty walking, dislocation may occur, and functional mobility of the knee is restricted. X-rays show large irregular collapse or flattening of the femoral head and variation of trabecular bone structure.

The main symptoms of femoral head necrosis are pain and limited functional activities, according to the symptoms you described, soreness in the lower limbs, feeling tired and weak, cold legs, fear of wind and cold, etc., or considering the injury caused by the injury at that time, the symptoms of lumbar disc herniation are: the affected side of the buttocks, lower limbs soreness, pain, or soreness, numbness, coldness, wind and cold, and the feeling is mostly along the buttocks, the outside or back of the thighs, and the posterolateral side of the calves extend radially. The legs are cold and the feet are cold.

These symptoms may occur at the same time as pain and soreness in the lower back or lumbosacral region, or they may occur alone. Or go to the hospital to do MRI of the lower lumbar spine and hip joint (necrosis of the femoral head can also be found in the early stage, and x-rays may be misdiagnosed in the early stage), and it will be clear at a glance!

I think it is still a high possibility of lumbar discs, if so, you must sleep on a hard bed or ondol, do not lift heavy objects, bed rest, local hot compresses, physiotherapy. Shelter from wind and cold, suitable for work and rest, and prevent re-injury and aggravation of the condition.

An acetabular fracture is a fracture caused by the impact of the femoral head on the acetabulum by an external force, and the force is released at the acetabulum, and the femoral head or femoral neck is less likely to be injured at the same time. Sometimes acetabular fractures are accompanied by fractures of the femoral head or femoral neck, and the diagnosis can be confirmed by x-rays after trauma, in this case "multiple pelvic fractures Pubic fractures . ."Ischial fracture", no fracture of the femoral head or femoral neck.

Necrosis of the femoral head is less likely, but traumatic hip arthritis is more likely. Appears "...Walking without feeling squatting, external rotation, abduction, or anything is normal, but sometimes feeling soreness and tiredness, and sometimes feeling cold in the legs" is a symptom of traumatic arthritis, not a manifestation of nerve root injury such as a herniated lumbar disc.

Therefore, it is necessary to consider the manifestations of patients from the direction of traumatic arthritis, and make corresponding prevention.

Acetabular fractures are conservative** and cause necrosis of the femoral head in 60-70% of patients.

Basis for diagnosis: 1) Have a significant history of hip trauma.

2) No history of hip trauma and long-term use of hormones, excessive alcohol consumption, etc.

3) Hip pain, mainly starting from the internal subordination muscle, the pain can be continuous or intermittent, and can radiate downward to the knee joint.

4) Difficulty walking, lame, progressively worsening.

5) Hip joint dysfunction, mainly limited internal rotation abduction. Passively moving the hip joint may have spasms of the surrounding tissues.

6) X-ray examination showed changes in femoral head density and medium- and long-term femoral head collapse.

There is a certain possibility, and it is recommended to prevent it as soon as possible.

The cost of surgery is about: 10,000 yuan for unilateral joint; Bilateral joints 10,000 yuan. (including hospitalization fees, surgery fees, imported joint costs).

At present, it is reported at home and abroad that the service life of the artificial joint is 20-30 years.

The scheduled time for surgery is usually 1-2 weeks.

Please come to the hospital for outpatient treatment at your convenience, and bring your relevant documents (X-ray**, laboratory test sheet).

1. Bury Kai in the afternoon of the second day; Wednesday morning.

Peking University People's Hospital Co Bolong.

There are no good ways to prevent it.

Traumatic necrosis of the femoral head depends on the magnitude of the trauma at the moment of injury and the degree of impact on the blood circulation of the femoral head. It can be said that the degree of your injury at that time determines the outcome of the femoral head.

Necrosis of the femoral head is very harmful, especially in relatively young people, and patients often have hip pain and cannot walk.

In the early stage of the orthopedic department of Xuanwu Hospital, patients with femoral head necrosis can be preserved according to the examination results**. For the early stage, the latest tantalum metal rod technology can be implemented**. Advanced patients can use joint replacement, etc.

It is recommended to come to Beijing for treatment, and we will provide you with the most reasonable ** plan according to your condition.

Hello, it is better to suggest surgery**, I wish you soon**.

After a fracture, the blood supply and nutrient supply to the femoral head is poor, so it is weak and prone to necrosis.

Reduce the load, e.g., do not bear weight, do not carry it, reduce the weight to normal; Do not walk and stand for long periods of time; No strenuous exercise.

On the one hand, on the other hand, it also strengthens nutrition, nourishes the liver and kidneys, keeps the hematopoietic function at a good level, and keeps the kidney essence full.

Don't smoke and don't drink alcohol.

Bless you! The above is a personal opinion only.

Healing of femoral neck fractures is not a problem, but a more serious complication is necrosis of the femoral head. This is because the femoral head is only nourished by the concave artery, and there are fewer blood vessels, which can easily lead to necrosis of the femoral head after injury.

Guidance: A disease like this does not happen immediately, he needs a process, as long as he does not do heavy physical work, does not smoke and drink, it can be relieved. There is a high probability that this disease will occur.

The probability of necrosis caused by a femoral head fracture is relatively high one year, so we must pay attention to avoid strenuous exercise, maintain good living habits, take regular radiographs for review, and strive to achieve early detection and early detection.

No, as long as the wound is not infected, it is not much of a problem.

Trauma leads to necrosis of the femoral head, such as hail fracture of the femoral neck caused by external impact, hip dislocation, hip sprain, etc., and the trauma plexus is the main factor causing necrosis of the femoral head.

However, the occurrence and extent of traumatic avascular necrosis of the femoral head mainly depend on the degree of vascular destruction and the compensatory ability of collateral circulation.