How is avascular necrosis of the femoral head treated?

Most of the causes of femoral head necrosis are caused by the abuse of corticosteroids, alcoholism, and uneven development of medical conditions, and the incidence and disability rates of avascular necrosis of the femoral head are increasing year by year. What should avascular necrosis of the femoral head be**? At present, surgeries for femoral head necrosis, including medullary core decompression, vascular bone grafting, and intertrochanteric rotational osteotomy, have certain curative effects, but it is difficult to prevent the development of such lesions, and many patients eventually have to undergo artificial joint replacement.

It brings great harm to the physical and mental health of patients.

What should avascular necrosis of the femoral head be**? At present, for avascular necrosis of the femoral head, many patients choose DSA interventional integration**, DSA interventional integration** is assisted by the latest international technology angiography, using cutting-edge arterial cannulation technology, taking the drug directly into the blood vessels of the femoral head, so that the blood vessels dilate, spasm is relieved, and the thrombus obstruction is fused, so as to improve the blood circulation of the femoral head, which can fundamentally carry out complete necrosis of the femoral head.

All in all, it is very difficult to completely cure femoral head necrosis, and patients need to detect the disease in time and seize the best opportunity in the early stage to prevent the condition from worsening and prevent the rapid harm of femoral head necrosis. What should avascular necrosis of the femoral head be**? Patients must not blindly use drugs when they have femoral head necrosis, and choose the appropriate method under the guidance of professional physicians.

The above is an introduction to how avascular necrosis of the femoral head should be carried out, hoping to help the majority of patients with necrosis of the femoral head.

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It is best to take Chinese patent medicine, and it is recommended to take Tongluo Shenggu Capsule, which my grandmother is taking. Consists of pigeon pea leaves. It has the effect of invigorating blood and strengthening bones, removing blood stasis and relieving pain.

It is used for avascular necrosis of the femoral head, and the symptoms are limited hip movement, pain, claudication muscle atrophy, soreness of the waist and knees, fatigue and fatigue, red tongue or ecchymosis, and pulse.

Most patients with early femoral head necrosis have no obvious clinical symptoms, only seen in thigh muscle weakness and adductor muscle pain, some patients have limb pain far from the site, and some patients may have intermittent hip pain after exertion, alternating hip pain or mild claudication.

The late stage of femoral head necrosis is mostly intermittent and insidious, with the evolution of the disease in the middle and late stages, the slow-developing hip pain is the main clinical symptom, which is aggravated during activity and not obvious at rest. About a quarter of patients have intermittent episodes that begin with sudden, severe pain that disappears abruptly, and some patients do not respond to conventional analgesics during episodes of hip pain.

Patients with advanced femoral head necrosis often have a snapping sound when the joint is moving, the range of motion of the joint is gradually reduced due to pain, the passive range of motion is also significantly limited, the limbs are shortened, the muscles are atrophied, and signs of subluxation may appear in the affected hip, and the figure-4 test and Thomas's sign are significantly positive.

It is not recommended that you use replacement surgery**Femoral head necrosis, according to theoretical research, the service life of artificial replacement joints should be more than 20 years, but in practical application, in view of the limitations of medical level, patients who apply surgery for replacement in clinical practice can generally only use years, or even years. In addition, most people are no longer suitable for artificial femoral head replacement after the second artificial femoral head replacement surgery. It is recommended to use five-link synchronous hip preservation ** to break the disadvantages of traditional femoral head necrosis**.

With the continuous development of modern medicine, through scientific and standardized diagnosis and treatment, and reasonable selection of appropriate methods, patients with femoral head necrosis can effectively control their condition and achieve recovery or improvement of function. It is recommended to go to a regular orthopedic hospital or professional hospital as soon as possible for systematic treatment, grasp the root cause of femoral head necrosis, and solve the insufficient blood supply in a targeted manner, so that the patient's pain can be reduced or even disappear, the range of motion of the joint is significantly improved, the hip joint function is improved, and the hip is protected and the pain is treated.

The causes of avascular necrosis of the femoral head are complex, and the specific causes have been summarized as follows: alcoholism, hormones, trauma, and congenital developmental anomalies. If the patient has had a history of alcohol abuse and hormonal medication, it must be eliminated.

The early stage of femoral head necrosis is hip pain, especially after long-term walking or strenuous exercise, so once this symptom appears, it is necessary to go to the hospital for CT or X-ray to further confirm the diagnosis. In the middle and early stages of femoral head necrosis, it is recommended to use a pharmacological conservative method**, which can improve the success rate of hip salvage.

Femoral head necrosis, also known as avascular necrosis of the femoral head, is one of the common osteoarthropathies. It is mostly caused by rheumatism, blood diseases, and the use of a large number of hormones, and can also be caused by femoral neck fractures. Once the diagnosis of femoral head necrosis is confirmed, it cannot be completely **, only through drug control and prolonging the femoral head time.

If necrosis has been reached, a joint replacement must be given to complete it**. Whatever the cause, in the first place, it is forbidden to smoke and drink alcohol, especially smoking. If it is caused by drugs and the drugs cannot be replaced, it is recommended to reduce the dose as much as possible.

Femoral head necrosis includes traditional Chinese medicine, combination of traditional Chinese and Western medicine, minimally invasive surgery, open surgery, etc., mainly according to one's own condition. Take the best plan for your condition and age. However, it is best to keep your own bones and joints, and try to protect your joints without replacement.

Suggestion: The symptoms of early femoral head necrosis are mainly intermittent pain, such as long walking time, aggravation when standing and sitting for a long time, and some dysfunction of the hip joint.

For the early stage of femoral head necrosis, traditional Chinese medicine can be used conservatively, on the one hand, to improve the blood of the articular surface tissue of the femoral head, on the other hand, to speed up the absorption of necrotic bone, to promote the generation of new bone, through the "bone shock wave" and "target directed superconductivity", with the theory of syndrome differentiation of traditional Chinese medicine, through "qi supplementation, blood supplementation, kidney supplementation, blood circulation and blood stasis, activation of the veins and pulses", "qi supplementation, blood supplementation" fundamentally solve the problem of blood ** of necrosis of the femoral head, and treat the root cause first. Finally, patients with femoral head necrosis must have confidence, firmly believe that their disease can be treated, actively cooperate with the doctor, and actively carry out functional exercises while accepting conservatism

Once you are diagnosed with necrosis of the femoral head, you should accept it as soon as possible to avoid the collapse of the femoral head and affect your normal life in the future.

Hello! Glad to answer your questions. The cause of avascular necrosis of the femoral head is unknown so far, and the possibility of bilateral occurrence is also very high, and in epidemiological investigations, bilateral avascular necrosis of the femoral head is more common than unilateral.

For the ** of this disease, we are divided into ladders**, according to the stage of the patient, according to the stage of FICAT.

If it is said to be the early stage, the patient needs to not bear weight, walk less, and then do an anti-inflammatory and analgesic **. In the middle stage, you can do some surgery**, such as doing a rotary hole decompression, bone grafting support, etc.**. In the later stage, if the entire articular surface has been broken and can no longer be repaired by itself, a fake artificial joint can be made for the patient to replace the broken joint, so that the disease can also be completely cured.

Finally, I wish you a speedy **!

Avascular necrosis of the femoral head, which is an irreversible disease. The main thing is that heavy drinking and long-term use of hormones are related, and you need to completely stop drinking alcohol and do not use hormones before **. In the early stage, if it is not severe, the femoral head can be protected by crutches, and intravenous infusion drugs can also be used to promote blood circulation and remove blood stasis; You can also do conservative**, such as acupuncture, massage to relieve.

If it is more serious, surgery can be used, and it is recommended to go to a regular hospital for targeted **.

Ischemic femoral head necrosis is a relatively serious bone disease that should be diagnosed early and promptly. The blood circulation of the femoral head is relatively poor, so in the early stage, oral drugs should be taken to promote blood circulation and remove blood stasis, such as Huoluodan capsules, local massage can be done appropriately, reduce body weight, can not do strenuous exercise, can not drink alcohol, prohibiting taking hormone drugs, severe pain, can do decompression. In the late stage of ischemic femoral head necrosis, the femoral head collapses, which seriously affects life, and it is necessary to replace artificial joints to improve the quality of life.

The best method for avascular necrosis of the femoral head is to choose a regimen based on the degree of necrosis. The method of avascular necrosis of the femoral head is mainly divided into two types, namely conservative and operational, if the degree of avascular necrosis of the bone is not very serious after examination, the best method is conservative, and the conservative method is traditional Chinese medicine, such as moxibustion, warm acupuncture, electroacupuncture, acupuncture points can choose ring jumping acupoint, kidney Yu acupoint, etc., and physical factors such as shock wave and magnetothermal. In addition to conservative **, patients with mild to moderate femoral head necrosis can also perform core decompression, vascular muscle valve transplantation, tantalum rod implantation and other surgical methods.

If the degree of necrosis of the femoral head is severe, and the joint is deformed, collapsed or dislocated, the best method is femoral head replacement.

The risk of ischemic femoral head necrosis is determined primarily by the patient's physical condition and the severity of the necrosis. In young patients with early femoral head necrosis, rest, avoiding weight bearing on the hip joint, and using crutches as much as possible to use a wheelchair or bicycle instead of walking should be recommended to prolong the life of the hip joint. It can also be carried out with some Chinese herbal medicines that invigorate blood circulation and eliminate blood stasis**, which is conducive to promoting the blood of the femoral head**.

Patients with early necrosis of the femoral head may also undergo medullary core decompression bone grafting** or fibular flap grafting with vascular pedicle**. Patients with advanced femoral head necrosis should require hip arthroplasty**. For older patients with poor physical condition, artificial femoral head replacement surgery can also be performed**.

The avascular necrosis of the femoral head mainly includes conservative and surgical, and the choice of modality varies from person to person.

1.Conservative**: including protective weight-bearing, medications**, physical** and **exercise, etc.

It is suitable for patients with non-weight-bearing surface necrosis and small lesions, and the head shape is basically normal and widely sclerosis. Weight-bearing should be strictly avoided on the affected side, crutches can be used, walking with a walker, and the use of non-steroidal anti-inflammatory drugs, anticoagulants, vasodilators, bisphosphonates, etc. may have certain effects on certain types of patients. Traditional Chinese medicine and physics** may also be effective.

2.Surgery**.

1) Medullary core decompression: It can reduce intraosseous pressure, reduce pain, improve venous return, and help blood vessel growth.

2) Vascular pedicle bone grafting: Ilium and fibula grafting with vascular pedicle are commonly used, combined with microsurgery. It is suitable for patients with no collapse or slight collapse of the femoral head.

3) Osteotomy: The common surgical methods are transtrochanteric rotational osteotomy and its modified operation. It is rarely used at present.

4) Joint replacement: Total hip arthroplasty can be considered for patients with both acetabular and femoral head involvement, osteoarthritis and obvious impact on the patient's quality of life. At present, there are many types of hip prostheses, and the type of prosthesis should be selected according to the individual situation of the patient.

This is currently the most commonly used method and is suitable for middle-aged and elderly patients.

There is no way to recover if it has been necrotic, but it can be replaced by an artificial femoral head to restore the function of the limb and improve the quality of life.

OK. You have to believe in the present. At the level of medicine, it would be nice to change to an artificial femoral head.

Whether avascular necrosis of the femoral head can be cured or not depends on the stage and severity of the disease. If it is relatively early, you can help by using conservative methods, including medications, functional exercises and even physiotherapy.

It is possible to cure, but you also need to pay a lot of energy and time, it is best to buy Tongluo Shenggu Capsule at Yunkai Yamei Pharmacy on Tmall, insist on taking it, and the effect will come out.