How should a patient with femoral head necrosis perform crutches correctly?

Femoral head necrosis is a difficult disease with a long incubation period and a long course of disease, and the first stage is much longer than the first time. The patient's crutches are a necessary tool to assist in the improvement of the condition during the period, but not the whole process requires crutches, and the patient can effectively crutches for a specific period of time under the guidance of the doctor in order to achieve the purpose of assistance.

A small patient with femoral head necrosis in the early stage, after a course of infiltration of body fluids in the target position, the parents accompanied the patient to carry out various exercises at home, and the condition has improved, and the second course of treatment is insisted on, which is more obvious. Three months later, the patient came to the hospital for a re-examination, and found through X-rays that the patient's femoral head had collapsed, and immediately asked the patient's parents whether the child had crutches to walk, and the parents affirmed: yes, but asked the child again, the child denied it, and understood the specific situation in detail, it turned out that the parents did not find the child's crutches, and the father's special crutches were too heavy, and the child was very laborious when using them, so the crutches in the child's hands became ornaments in these three months, and the hip joint was in a weight-bearing state when walking with his feet. Caused the femoral head to collapse.

In the next stage, parents continue to advise the patient and supervise them at any time, and the patient is completely ** after one year.

This illustrates the importance of crutches at a particular stage. After the conservative synthesis**, the condition continues to improve, and there will be new bone tissue generation, and these bone tissues are more fragile in the initial generation stage, during this period of effective crutches, reduce the weight bearing at the femoral head, so that the bone cells at the femoral head can grow safely without weight, and when they grow to hard, the patient can abandon crutches. What the patient needs is:

Patients who have just given up crutches, because they have not walked on their own for a period of time, are supported by crutches, and the patient's walking ability has regressed.

Angkor is a patient with femoral head necrosis**, sharing how to use crutches correctly, because incorrect crutches will bring a series of adverse consequences.

Suggestion: Femoral head necrosis is a frequent and refractory disease in orthopedics and traumatology, due to the destruction of blood circulation in the femoral head, the femoral head loses blood nutrition and necrosis.

The choice of the method of femoral head necrosis is very important, how to choose the method of femoral head necrosis? **The traditional method of femoral head necrosis, in addition to surgery**, is mainly conservative with traditional Chinese medicine**, that is, oral Chinese medicine and external plasters are commonly used. Although the conservative practice of traditional Chinese medicine avoids the risk of surgery, the disadvantage is that the effect is slow and the course of treatment is long.

The replacement method is the replacement of a human hip joint with an artificial hip joint, and for patients under 50 years of age, the failure rate is often higher. Moreover, there will be a series of indication complications after surgery, so there is a great risk. The replacement method is indicated for patients with advanced femoral head necrosis and who are older.

How to choose the best method for patients with femoral head necrosis, although there are many methods of femoral head necrosis, but there are no more than two kinds of head preservation and prosthesis replacement.

Currently, the most commonly used staging method is to divide femoral head necrosis into four stages according to the course of its development. At this stage, the affected hip has only varying degrees of pain, and x-rays and CT examinations cannot detect necrosis. X-rays may show signs of osteonecrosis, but the appearance of the femoral head is normal.

These two stages of femoral head necrosis generally do not affect hip joint function, and most of them can be preserved by drugs or conservative**. When necrosis of the femoral head progresses, hip function is often affected to some extent. If you can get timely and correct **, so that osteonecrosis does not develop, coupled with active exercise, you can retain most of the function of the hip joint, and there is still a great hope of saving the femoral head.

In the first stage, the function of the hip joint will be seriously affected, and even the hip joint will be stiff and completely incapacitated. At this point, it is difficult to avoid artificial joint replacement.

At present, many hospitals use a combination of traditional Chinese and Western medicine**Femoral head necrosis. This method takes the advantages of both traditional Chinese medicine and Western medicine, and uses the advanced medical equipment of Western medicine and the traditional theoretical system of traditional Chinese medicine to achieve necrosis of the femoral head, which has a relatively good effect.

Hello how to do crutches correctly:

1. Crutches can effectively reduce the load on the lower limbs, and in principle, double crutches are used. Control the crutches with the upper limbs and hands, the appropriate height is from the soles of the feet to the armpits, 40 cm less than the height, and from the anterolateral aspect of the little toe of the foot 15 cm to the height of the armpits 2 3 horizontal fingers when standing.

2. Walking with crutches includes: 1. Two-point walking: right foot and left turn, left turn and right foot alternate walking; 2. Walk at three o'clock:

Walking on two crutches and the affected foot at three points, and walking independently on the unaffected foot; 3. Four-point walking: first move the left turn forward, then step the right lower limb, then move forward and turn right, and finally step the left lower limb.

3. Precautions:

1. When going upstairs, you should first step up the lower limb on the healthy side, then the affected limb, and finally go up on crutches; When going downstairs, you should first let the crutches go down, then the affected limb, and finally the healthy limb.

2. If you need to use single crutches, remember to put the crutches under the armpit of the unaffected side and walk with the affected limb at the same time, which can eliminate the fatigue of the gluteal muscles on the affected side, reduce the force on the affected hip, and increase stability.

3. If you need to use a cane, you should pay attention to the height of the cane, which should not be higher than the top of your left tuberosity.

4. When choosing crutches, wood (ash wood is better) and metal (aluminum alloy) are the most commonly used. To choose a high-quality crutch without cracks, scars, etc., the shank should have enough sponge protection. The choice of height should be based on the length from the anterior edge of the armpit to the outer edge of the plantar plus 5 cm, or the height of the person can be subtracted from 40 cm.

When exerting force, you should hold the crutch crossbar with your hand, and do not press the weight of your body on the crutch area of the armpit, which can sometimes cause "crutch axillary nerve palsy". The use of crutches should be done according to the doctor's instructions.

Hello crutches, necrosis of the femoral head should be detected early and timely**. Actively control the development of necrosis of the femoral head, prevent and avoid the collapse of the femoral head. For example, avoid alcohol, do not use hormone drugs, use crutches and other measures to reduce the weight bearing of the femoral head, and timely ** disease.

Hope it helps!

Hello, you can use crutches as much as possible, are you the patient? How is your condition now? What are the symptoms?

Long-term non-weightless bed rest for femoral head necrosis is not easy to implement and is not recommended. Proper functional exercise can prevent disuse muscle wasting and is an effective means to promote early recovery of functionHere's a look:

Patients with femoral head necrosis should stay in bed to limit the weight bearing of the affected limb, but the ** femoral head necrosis is a relatively long process, which takes 1 to 3 years for slow cases and half a year for fast repair. Patients with femoral head necrosis have a longer course of treatment at **, so determination and patience are required. Necrosis of the femoral head, which can further aggravate pain and deformity, reduce weight bearing on the femoral head by consistently using double crutches while walking and standing.

Because in the process of necrotic bone repair, capillaries, new bone tissue and calcium need to be continuously regenerated, dead bone resorption, and new bone growth. At the same time, the shape of the femoral head is repaired to prevent deformity. Patients with severe femoral head necrosis should minimize activity, but do so appropriately.

When exercising properly, the weight of the human body should be applied to the crutches with the help of crutches, and the crutches should be used correctly to bear weight, so as to reduce the pressure on the femoral head and prevent the femoral head from collapsing. Patients with particularly severe necrosis of the femoral head must also be effectively protected by crutches when standing. Proper use of crutches can contribute to the necrosis of the femoral head**, and care should be taken to ensure that the height of the crutches is appropriate.

If the crutches are too high, the body will be too straight, and it will be inconvenient to walk, and it will also be difficult to press the weight of the body on the crutches, which will not protect the femoral head enough; The crutches are too low, the upper body is too inclined forward, the ability to hold the crutches with both hands to support the weight of the body is reduced, it is best to lean the upper body slightly forward, hold the crutches with both hands, the height is appropriate, when the arms are straightened, the upper end of the crutches is not completely against the armpits, reduce the pressure on the axillary lymph, arteries and veins and nerves, and also avoid numbness and swelling of the arms. Necrosis of the femoral head increases the pressure in the hip joint, and weight bearing on the femoral head increases the pressure in the hip when standing or walking, which can further worsen the pain and deformity. Therefore, patients should insist on crutches when standing or walking appropriately, and if they cannot walk on crutches, they can use a wheelchair for outdoor activities.