What are the treatment methods for necrosis of the femoral head?

I know that there is a Xiao Zhengquan in Beijing who is very good, they are the best in all aspects of traditional Chinese medicine, physiotherapy, etc., and they have a lot of foreigners there who go to see a doctor. I've heard that it works well. And there is also the agricultural cooperative system to be able to reimburse the grace. Go check it out. Good luck with you**.

There are several ways to necrosis of the femoral head. Western medicine is mainly interventional, bone transplantation, medullary heart deceleration, replacement, etc., and the most effective prescription of Western medicine is the external use of traditional Chinese medicine target directed drugs, supplemented by acupuncture, medicinal bath, traction and a series of comprehensive **.

Hello, necrosis of the femoral head is mainly caused by blockage of blood vessels, so simply taking medicine has little effect. It is recommended to consider the use of Chinese herbal medicine for external application**, direct percutaneous administration, through physical infiltration, directly dissolve the congestion in the blood vessels, and restore blood circulation before the symptoms and root causes can be treated, and necrosis of the femoral head can be achieved**.

Before there is ** femoral head necrosis, I suggest that you may wish to recuperate first, because most of the femoral head necrosis is caused by ischemia. Therefore, such as appropriate walking activities are conducive to blood circulation in the affected area, in addition, regular local massage and hot compress on the affected area are conducive to alleviating the condition.

In terms of femoral head necrosis, Beijing Qicao Miaodao should be the highest level in China, and Qicao Miaodao has a large number of real cases. Even patients in the advanced and disabling stage have ** cases, and the speed is relatively fast and the effect is very good. You might as well find out first.

Traditional Chinese medicine, replacement, bone grafting, tantalum rod support, allogeneic bone support, fibular grafting, bone flap transplantation, interventional method, drilling decompression, stem cell transplantation, see which one is right for you.

**Method 1: Medullary heart drilling decompression.

It is the best method suitable for early femoral head necrosis. Surgery is not recommended in the early stage, as necrosis of the femoral head is costly and traumatic, and minimally invasive intervention is recommended**. First of all, it is to open the bone, so that the closed lumen becomes an open lumen, so that the intraosseous pressure is reduced, the peripheral resistance is reduced, the blood flow is improved and increased, and the situation of ischemia of the femoral head is changed.

At the same time, it can also relieve symptoms such as pain. In addition, through surgery, the "vicious circle" chain of intraosseous ischemia is broken, the blood supply to the femoral head is improved, and conditions are created for the "resurrection" of the femoral head. At the same time, it can also be used to diagnose and observe its pathological changes.

In recent years, some people have injected drugs to activate blood circulation and decongestion and dilate blood vessels through drilling, and some people have inserted indwelling catheters after surgery to continuously decompress and regularly inject drugs.

**Method 2: Fenestration decompression and bone grafting.

For early femoral head necrosis, fenestration can also be performed at the neck of the femoral head to decompression, and a muscular bone fragment can be removed and implanted at the corresponding size of the fenestration. This not only achieves the purpose of reducing intraosseous pressure and intra-articular pressure, but also improves blood circulation through the sting-stimulation of muscle pedicle bone fragments, and promotes the formation of vascular regeneration and collateral circulation. Improve the blood supply to the femoral head and turn the femoral head with early necrosis in a good direction.

Promote the creeping replacement of bone and the formation and reconstruction of new bone. Conversely, if you consider the cost of necrosis of the femoral head, then surgery is not recommended**. [Miao Fang Bone Fairy] can effectively ** femoral head necrosis, aiming at the characteristics of femoral head necrosis that is difficult to heal and the condition changes rapidly, and the effect is remarkable.

**Method 3, synovectomy.

Through surgery, the edema and hypertrophic synovium are removed, the pressure in the joint cavity is reduced, the volume of the hip joint cavity is increased, the acetabular accommodation of the femoral head is increased, the microcirculation of the femoral head is improved, and the bone regeneration and reconstruction are promoted. At the same time, it can also prevent deformation and subluxation of the femoral head. This procedure is mostly used in children.

**Method 4: Osteotomy.

The main purpose of osteotomy is to change the weight-bearing area of the femoral head, prevent it from continuing to be damaged and collapsed, increase the contact surface between the femoral head and the acetabulum and the area of the acetabulum on the femoral head, reduce the intra-bone pressure and the intra-joint pressure, improve the blood circulation inside and outside the bone, and make the regeneration of the bone be turned

varus retroversion osteotomy; anterior rotation osteotomy; Osteotomy with intra-pelvic transfer, etc.

At present, with the development of medicine, there are more and more methods of femoral head necrosis, and it is recommended to use conservative femoral head necrosis by incorporating the femoral head necrosis method, which is the principle of directly injecting high-dose thrombolytic drugs and vasodilator drugs into the blood supply artery of the femoral head through the catheter, so as to maintain a high concentration of local drugs for a long time, so that the diseased blood vessels become unobstructed, the emergency blood vessels are opened, and the blood supply can achieve the effect of increasing. Then it increases collateral circulation and dredges the vegetative vessels of the femoral head, and promotes the removal of metabolites, so that the necrotic bone is gradually absorbed, and new bone is slowly formed, so that the necrotic bone can be repaired, the pain is relieved, and the symptoms are improved. I wish the patient a speedy **!

According to the situation you described, there are many ways to have necrosis of the femoral head, and the most direct way is to replace the femoral head, so as to better ensure the quality of life.

The pain can be around the hip joint, the inner thigh, the front, the outside or the knee, starting as a dull, dull pain, intermittent pain, especially if the pain is aggravated by more activity, it can be relieved or relieved by rest, and there are also persistent pains. In the late stage, it worsens after walking activity, and the pain stops when it moves, and it stops when it is still.

I don't know if your condition has been further examined, but if it is just a general description, it is difficult to diagnose it. Please upload** so that your doctor can help you get the diagnosis.

Deputy Chief Physician of Sun Jianfeng, Department of Orthopedics and Traumatology, Xiyuan Hospital, China Academy of Chinese Medical Sciences.

The early and middle stages of femoral head necrosis are mainly drug-based**.

In the early stage, it should be conservative**, open up the meridians, and promote the metabolism of femoral head cells.

Hello, non-surgical ** methods: 1. Protective weight bearing 2. Traditional Chinese medicine**: invigorate blood circulation and eliminate blood stasis, relieve pain, and can be combined with surgical assistance** to improve the effect of hip preservation surgery.

3. Physics**: extracorporeal shock wave, hyperbaric oxygen, etc. Surgical methods: 1. Medullary core decompression combined with autologous bone marrow enrichment stem cell transplantation 2. Lesion removal, bone transplantation with or without blood vessels; 3. Osteotomy 4. Joint replacement.

There are many methods of femoral head necrosis**, but factors such as stage, type, necrotic volume, joint function, and the patient's age and compliance with joint preservation should be considered when choosing. In the early and middle stages, hip preservation is preferred, followed by joint replacement in the late stage, and drugs are recommended in the conservative **. For specific patients, which method is suitable for you, you can let the hip preservation expert give the best diagnostic advice suitable for your condition.

In general, self-testing is not recommended to determine whether necrosis of the femoral head has occurred. It is recommended to go to the hospital for examination, and there are two criteria to determine whether necrosis of the femoral head has occurred, the first is to do an MRI, and the second is to take an X-ray. If you must see if your bones are necrosis, you can check the hip joint for pain and observe whether there is any dysfunction around the hip joint.

If there is suspicion of necrosis of the right femoral head, you can put your right foot on the left knee to see if you can move flexibly. If there is inflexibility, it may be due to hip dysfunction, and further examination of the femoral head for necrosis is required.

How to treat stage 3 necrosis of the femoral head.

Necrosis of the femoral head is generally divided into four stages. If it is stage 3 necrosis of the femoral head, it means that the femoral head has collapsed, that is, the entire cartilage has collapsed, which is a more serious situation. In this condition, the patient will experience severe pain and increased dysfunction.

There are two commonly used methods for the third stage of femoral head necrosis, the first method is bone grafting surgery. Especially for young people aged 20 and 30, after collapse, surgery should be actively taken, and the operation can be done by anterior approach or surgical dislocation, and the bone grafting method is to take a bone above the iliac bone, and then plant the bone on the femoral head, and reshape the femoral head.

If patients with stage 3 femoral head necrosis are older than 50 years old or have special requirements, joint replacement can be done. The advantage of joint replacement is that after surgery.

In two or three days, the function and walking state can be restored, and the third stage patients should undergo early surgical intervention**.

The method of femoral head necrosis is based on the course of the disease, like some early femoral head necrosis, after being found through examination, non-surgical is generally taken, the first thing you can do is to reduce the weight bearing and avoid the impact of excessive weight bearing on the femoral head, and then the drug is mainly to improve the symptoms. When the femoral head necrosis reaches the intermediate stage, surgery can be considered after evaluation or after MRI and related examinations, and surgery can be considered to try to preserve the femoral head, and medullary core decompression bone grafting or bone flap grafting can be used to improve the blood supply to the femoral head. There are also some more serious cases, that is, the necrosis of the femoral head is in the advanced stage, according to the imaging stage and when the symptoms are more serious, the conservative ** effect is not good, and the patient has typical pain and even joint dysfunction, or to consider surgery**, at present, artificial joint replacement is generally adopted.