**Femoral head necrosis is a progressive, destructive disease that progresses to the disease, often leading to collapse of the subchondral bone of the femoral head and articular surface cartilage, secondary to osteoarthritis. First of all, we should clarify the diagnosis stage, ** and other factors, and also consider the patient's age, general physical condition, single or double hip damage, etc. At present, it is generally believed that before the early collapse of the femoral head, active and effective measures are taken, and the clinical effect is usually obvious, which can delay the progression of the disease and finally avoid or delay the time of artificial joint replacement.
So what is the early stage of necrosis of the femoral head?
The early stage of femoral head necrosis refers to stage 0, I, and II, that is, before the collapse of the femoral head. In the early stage of femoral head necrosis, a comprehensive approach is generally used, including removal, weight reduction, medication, and physics.
1) Clarity**
Learn what causes necrosis, the three common causes of trauma, alcoholic femoral head necrosis, and hormonal femoral head necrosis. If there are patients who use hormones for a long time and drink alcohol regularly, the first thing is to solve this problem on the **. Be sure to quit drinking, the second is the amount of hormones, if it is not life-threatening, try to reduce the amount of hormones, so that there is a possibility of repair.
2) Reduce the load.
Once necrosis occurs, the most worried about the problem of collapse, so we must avoid weight-bearing, that is, you can move, but not weight-bearing, such as lifting crutches to the ground, non-weight-bearing function exercises on the bed, etc.
3) Drugs**.
It is mainly to improve the blood supply to the femoral head, such as blood circulation and blood stasis drugs such as salvia
4) Physics**.
Traditional Chinese medicine heat therapy Topical Chinese medicine hot compress, red light irradiation, moxibustion and other methods are applied to the hip to promote blood circulation and eliminate blood stasis.
Shock Wave Shock Wave**The principle of necrosis of the femoral head is to use the energy generated by high-energy concentrated sound waves to target the broken bone and induce blood vessels to intervene in the lesion to form a capillary network. It can allow the blood to reach the necrotic area, bring sufficient oxygen and nutrients, take away inflammation and metabolic waste, and promote new bone regeneration.
5) Minimally invasive**
It is internationally recognized that core decompression is 70% effective in patients in the early and middle stages. When the first and second phases are reached, through minimally invasive surgery**, the local femoral head is drilled to decompress, and at the same time, a part of the dead bone inside is extracted to reduce the pressure in the medullary cavity. Increased local blood supply. In the early stage of the second or third stage, we use bone grafting, or take a piece of bone with blood vessels on the lower leg and implant it into the femoral head to restore the blood supply to the femoral head, which is a kind of hip protection.