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Necrosis of the femoral head is a problem caused by human evolution (upright walking and degeneration of blood vessels innervating the femoral head), and a series of pathological changes in the femoral head due to ischemia, which leads to the collapse of the weight-bearing area, and the main symptoms are pain and limited mobility. Current medications only relieve symptoms, but do not reverse disease progression, and reduce activity. There are two main types of surgery: decompression bone grafting and artificial joint replacement.
At present, there are two types of artificial hip joints: artificial femoral head and artificial total hip joint, and the main difference is whether or not an acetabular prosthesis is placed.
In terms of service life, with the continuous development in recent years, the service life of both types of prostheses has been extended compared with before, and can reach more than ten years or even longer.
In terms of **, imported materials are more expensive than domestic ones, full hip joints are more expensive than artificial femoral heads, and ceramic materials are more expensive than alloy materials. If you add the hospitalization related costs, the hospitalization cost of each unilateral artificial joint replacement is tens of thousands of yuan, and the cost of bilateral replacement is higher, which mainly depends on the hospital grade, prosthesis, and process costs.
At present, the cost of unilateral total hip replacement in a tertiary hospital should be 450,000 yuan, and 780,000 yuan for bilateral. Of course, some material prostheses themselves are more expensive, and the cost of hospitalization will be higher.
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The purpose of femoral head necrosis in the hole and decompression is to reduce the internal high pressure of the femoral head, and the hole can regrow a part of the small blood vessels, the causes of pain: inflammation of the joint, unevenness of the joint, and poor reconstruction of the necrosis of the femoral head.
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Decompression osteonecrosis is one of the late complications and sequelae of decompression sickness, and is a manifestation of severe damage to the osteoarticular system of decompression sickness.
The clinical signs and symptoms of decompression sickness can occur when normal air pressure is not restored or after low-pressure workers get normal air pressure, and decompression sickness is prone to occur if the decompression (or pressurization) is too fast or too large.
The age of patients with decompression avascular necrosis of the femoral head is generally between 20 and 30 years old, among which the majority of obese patients are obese, and they have a history of entering a high-pressure environment to engage in high-altitude flight. Patients may initially be asymptomatic or have hip pain or dysfunction that occurs minutes to hours after abnormal decompression, but x-ray findings may occur months to years after onset. Pain may be constant or intermittent.
The pain time is gradually prolonged, and then persistent pain appears, regardless of whether the decompression work is engaged in or not, the pain appears, the hip joint mobility restriction is aggravated, the early stage is mainly internal rotation is limited, with the development of the disease, the range of motion of the joint gradually becomes smaller, the Thomas sign test is positive, the figure 4 sign test is positive, and in the late stage, due to the joint capsule hypertrophy contracture, the movement of the joint in all directions is limited. Persistent claudication may occur after articular surface cartilage collapses. Physical examination may show greater trochanter percussion pain, local deep tenderness, adductor insertion point tenderness, some patients may have positive heel percussion pain, hip dislocation due to femoral head collapse, positive Iris sign and a positive one-leg test, shortening of the affected limb, muscle atrophy, and even signs of subluxation.
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The patient with necrosis of the femoral head is too painful, I understand your feelings very much, I have gone to many hospitals, consulted many experts, and used countless methods, but I can't solve your pain, the money is spent, the sin is suffered, the bones are broken, the flesh is hard, the joints are stiff, the mobility is impaired, and the heart is discouraged......Is it true that there is no solution other than medicine and surgery? No! And also!
Washing the marrow is the best way to solve the problem. A workaround you've never heard of.
So small children can't withstand surgery, and Chinese medicine conservative** is the first choice.
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You need to consult a medical examiner or attending doctor.
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Aseptic necrosis of the femoral head, although medullary heart decompression is done, does not necessarily mean that the disease of the femoral head is completely **, and may only delay the occurrence and development of the disease. Eventually, a total hip replacement may also be required.
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Hello, decompression is not recommended for femoral head necrosis, many patients have no effect after doing it, but the condition is aggravated, how is the patient's condition? If you have any questions about femoral head necrosis you can ask me again.
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1. It is very likely that your femoral head necrosis is not controlled, it is recommended to go to the original department for decompression surgery for reexamination, you need to do CT and MRI of the femoral head, and compare it with the imaging examination before decompression, you can judge whether the current condition has developed, and what to do next**.
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Hello Your situation may be that the inflammation in the body is not controlled, the condition is still developing, it is recommended that you be conservative**, control the condition, eliminate inflammation, you had better go to the hospital to take a picture**, and then see how your current condition has developed to that point, and then combine your physical condition to formulate the next **plan.
We hope we can help you.
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Femoral head necrosis drilling decompression surgery can not be the best of the disease, not done well may aggravate the development of the disease, at present, there are two ways of femoral head necrosis in China, one is surgical replacement, the other is conservative. In your case, I suggest that you cooperate with the conservative ** to do it together. Avoid the pain caused by the exacerbation of the condition.
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Marriage mainly depends on the feelings of both parties, to see whether the two are happy and willing, and has nothing to do with necrosis of the femoral head; Necrosis of the femoral head can have a significant impact on all aspects of life because the femoral head cannot withstand gravity. In addition, it is certain that the destructive effects of necrosis of the femoral head will also involve sexual life between couples or couples.
From the perspective of Chinese medicine theory in China, from the function of the kidney, the kidney is the main bone and marrow, and the kidney will be very weak after a long time of bone disease. Modern medicine also agrees with this very much, kidney deficiency will lead to bone disease. Too much sex between couples will cause kidney deficiency, and kidney weakness will affect the growth of bone cells, so there are still certain requirements for normal couple sex life after necrosis of the femoral head.
If the husband and wife live too much, the kidney function will be weaker, and the kidney will not be able to nourish the bone tissue normally, which is not conducive to the need for necrosis repair of the femoral head. From this point of view, patients with necrosis of the femoral head are not able to have a normal number of sexual life, and it is best to have as little sex as possible to ensure the repair power of femoral head necrosis.
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It doesn't affect marriage, but you can't do heavy physical work
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You should ask the doctor about this?
You know it before you talk about friends, or do you?
Logically speaking, it should be fine.
It's just that the recovery time may be a little longer.
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The worst outcome of femoral osteonecrosis is artificial joint replacement.
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It depends on what kind of work to do in the future, and heavy work will definitely not work.
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Why are there so many people now? Is it forced to live or to die? After recovering from illness, I will have sex again!
You have to have sex when you're not healed, and you're really convinced of this kind of person! If you can't help it, it will have a great impact on the recovery of your femoral head, and it is not easy**.
What should I do if I have necrosis of the femoral head?
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