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Can femoral head necrosis be cured?

Dear landlord, your problem is a bit difficult, but it is not difficult to solve. The following is my opinion:

Prevention and health care ● Pay attention to the weather changes, and the pathogenic wind, cold and dampness will be damaged again.

● Avoid using alcohol hormones, anti-inflammatory and analgesic drugs.

● Avoid aquatic products. Aquatic products can cause metabolic disorder in the body and nameless swelling and pain in the joints of gouty arthritis doctors.

● Double crutches under the armpit to reduce the load.

● Strengthen indoor functional exercise (such as internal rotation and external rotation). )

● Supplement calcium and take vitamin D to enhance the absorption of calcium (taken under the guidance of a doctor).

● Control your diet and don't gain weight all the time.

● Prevent fracture and collapse of articular surface.

Remember: the occurrence of avascular necrosis of femoral head is completely preventable. If you pay more attention to medication in your daily work and life or in some long-term disease treatment meetings, you should generally do the following in Guangzhou:

We must strengthen the awareness of hip self-protection.

Pay attention to your feet when walking, and be careful of wrestling, especially when walking in the snow and ice in winter, and pay attention to slipping and falling.

Before exercise, you should fully prepare your hips and feel hot and flexible.

Avoid hip sprain when carrying heavy objects, and try not to do heavy work.

After hip joint injury, we should focus on timely treatment. Without healing, we must not walk too much to avoid repeated hip joint injuries.

In the treatment of many diseases so far, especially some painful diseases, the authorities should try not to use hormone drugs or use them less.

Try not to get into the habit of drinking heavily for a long time.

Femoral head necrosis generally has Shenyang surgical method and conservative method to treat difficult cases, so we must go to a regular big hospital.

Surgery has always been the main topic, and the cooperative treatment methods include artificial hip replacement, femoral head bone grafting, femoral head drilling decompression, or key stem cell transplantation projects in Japan at the same time.

Conservative methods are also widely used in China University. At the same time, they are mainly used in traditional Chinese medicine, massage, acupuncture and other methods.

Editing this paragraph suggests that femoral head necrosis can be prevented.

In daily work and life, we should generally do the following:

Strengthen the awareness of self-protection of buttocks.

Be careful when walking, avoid wrestling, and try not to let your hips touch the ground if you slip. When walking in the snow and ice in winter, you should pay attention to the anti-slip of the soles.

Before sports activities, we should fully prepare our hips to feel warm and flexible.

When carrying and carrying heavy objects, you should avoid hip sprain and try not to do heavy work. Pay attention to the smoothness of the ground when working.

If the hip is injured, it should be treated in time. If it is not healed, it is forbidden to walk too much to avoid repeated hip injuries.

Avoid drinking too much in life, and advocate drinking less or not.

No matter what disease you have, try to avoid using less or no hormone drugs.

You should control your weight properly to avoid being overweight.

After the operation of femoral neck fracture, it is forbidden to get out of bed, walk and bear weight prematurely. Prohibition of alcohol and alcoholic beverages;

Low-fat and low-cholesterol diet;

Femoral neck fracture should be treated with firm internal fixation and bone grafting with vascular bone flap head, which can promote femoral neck healing, increase blood supply to the head and prevent osteonecrosis. Regular follow-up after operation, proper oral administration of traditional Chinese medicine and calcium agent to promote blood supply should be taken to prevent the occurrence of femoral head ischemia.

Because hormones must be used for related diseases, it is necessary to master the principle of short-term moderation and cooperate with vasodilators, vitamin D, calcium and so on. And don't abuse hormone drugs without listening to the doctor's advice.

It is necessary to get rid of the bad habit of long-term alcoholism or abstinence, get rid of the contact environment of pathogenic factors, remove the chemical toxicity of alcohol and prevent alcohol absorption.

Pay attention to labor protection and improve the working conditions of deep-water divers, high-altitude pilots, high-pressure working environment personnel and other occupational factors. Those who are really sick should change jobs and seek medical advice in time.

Diet should be: don't eat Chili, don't drink alcohol, don't eat hormone drugs, pay attention to increasing calcium intake, eat more fresh vegetables and fruits, get more sunshine, prevent weight bearing, and exercise regularly, which has a preventive effect on femoral head necrosis.

So how does trauma lead to femoral head necrosis?

The cause of femoral head necrosis caused by trauma lies in the damage of blood vessels supplying the femoral head, such as the damage of lateral epiphysis blood vessels. After these blood vessels are damaged, all or part of the femoral head loses blood supply, and the interruption of blood supply for 8 hours after injury can lead to ischemic necrosis. It can be seen that the displaced femoral neck fracture can cause osteonecrosis very early. Ischemic necrosis of femoral head accounts for 85% of displaced femoral neck fractures and 15%-25% of non-displaced femoral neck fractures. It has been reported that avascular necrosis of femoral head will also occur after acupuncture for intertrochanteric fracture of femur. This avascular necrosis of femoral head is caused by acupuncture of femoral head, because acupuncture may damage the lateral epiphyseal vessels. The injury of this blood vessel will cause local ischemia and necrosis of the femoral head, and finally collapse at the upper weight-bearing part of the femoral head.

In addition, sometimes directly hitting the hip joint can also cause ischemic necrosis of the femoral head, and acute dislocation of the hip joint can also cause ischemic necrosis of the femoral head.

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Edit the examination method of this paragraph ① Patient friends, when you feel hip pain, don't take drugs indiscriminately. Observe for a few days first, and then go to the hospital for consultation.

② If the pain is aggravated, you can do the "4" sign test and press the painful part deeply. If it is positive, it proves to be pathological.

③ Hip joint function test, such as hip abduction, bone adduction, flexion, etc. Whether there is spasm and pain in the thigh muscles.

④ Early ischemia can be diagnosed by ECT or magnetic resonance imaging.

⑤ Radiological examination in the middle and late stage can make a definite diagnosis. Self-detection methods We can check ourselves from the following aspects to determine whether we have femoral head necrosis.

(1) Cold and dampness: In cold weather, the pain of hip joint is aggravated and its function is limited.

(2) Inflammation: When you have a cold and a fever, the erythrocyte sedimentation rate is accelerated, the white blood cells are elevated, and the pain in the affected hip joint is aggravated.

(3) Lameness: that is, when walking, the affected limb does not dare to bear the load and walks on tiptoe.

(4) Intermittent or persistent hip pain occurs gradually or suddenly after the fracture, dislocation or sprain of hip joint heals. After walking activities, it is aggravated, sometimes it is rest pain, and the pain is mostly needle-like or sore, and the above reaction occurs.

(5) Hip pain occurs in people who use hormones for a long time or a short time or who often drink alcohol. Most of them are dull and dull pain, often located in the groin, which is obvious during exercise and relieved after rest.

(6) Hip pain radiates to the groin area or the posterior, lateral or medial side of the hip.

(7) Stiffness and weakness of hip joint, limited movement and inflexible leg lifting. The early symptoms are cross-legged or outward bending of legs, and difficulty in squatting.

If you find yourself in the above situation, you should immediately go to a regular hospital for a detailed examination and a clear diagnosis. Because the disease is not delayed, the sooner it is found, the better the treatment effect. Nursing children with femoral head necrosis mostly occurs in boys aged four to eight. Symptoms gradually appear. The child has pain and limp, but there are no systemic symptoms, and the activity of the affected hip joint is limited. According to the X-ray of pelvis, we can see the deformation, collapse and displacement of femoral head, while the early acetabulum itself is good enough to distinguish it from tuberculosis or other diseases.

Children with femoral head necrosis should cooperate closely with doctors in the treatment process, and pay attention to the following matters:

We must stick to the course of treatment, and we must not give up halfway or intermittently.

Other drugs and means for the treatment of femoral head necrosis shall not be abused during the treatment.

Adrenal corticosteroids or other drugs that affect the curative effect should not be used during treatment, but anti-inflammatory and analgesic drugs should be used.

Don't drink, smoke or eat too greasy food.

Prevent sprains, falls and mental fatigue, appropriately reduce the life of husband and wife, and avoid rude movements.

Keep reducing the load until the bones return to normal.

According to the treatment stage, functional exercise is gradually carried out to shape the hip joint.

The process of bone repair should not be rushed, nor should X-ray or CT be reviewed too frequently, because even if the condition improves, X-ray will not change in a short time. Generally speaking, it is advisable to shoot once every 3-6 months.

Precautions for editing this paragraph Children with femoral head necrosis should cooperate closely with doctors during the treatment, and pay attention to the following matters: