0 ~ 10% need artificial joint replacement, and young patients will also face the problem of artificial joint revision. Therefore, how to delay or prevent the development of the disease is the key to delay joint replacement.
So far, there is no real medicine or biophysical non-surgical therapy to cure all types of femoral head necrosis.
At present, all kinds of improved core decompression have been proved to be the safest and most commonly used means to treat ANFH in the early and middle stages.
First of all, we think it is not advisable to treat femoral head necrosis with traditional Chinese medicine recommended by some hospitals, which can relieve pain and improve some functions at most, but it can't control the development of the disease and lead to irreversible collapse of femoral head! The lesson is profound.
The best treatment for early femoral head necrosis is minimally invasive intramedullary decompression and artificial bone implantation, and artificial joint replacement is needed in the later stage. Characteristics and advantages of joint-sparing surgery for femoral head necrosis in Beijing 307 Hospital;
1
Innovatively put forward the principle of individualized and phased treatment of femoral head necrosis, and formulated different treatment schemes for different ages, different necrosis degrees, different parts, different systemic diseases and drug use.
2
Based on 8- 12mm large-diameter single-hole hollow core decompression or circular saw core decompression, nine kinds of core decompression methods were innovatively developed, which greatly enriched the core decompression methods of femoral head necrosis and provided various options for various femoral head necrosis.
three
In medical practice, it is recognized that the key to the success of core decompression for early and middle femoral head necrosis is to decompress the necrotic area accurately and thoroughly, and accurately mark the necrotic area for each patient by using the digital orthopedic technology of Mimics software before operation.
four
For stage 0 and 1A femoral head necrosis, small-diameter multi-channel core decompression can reverse or avoid the progress of femoral head necrosis. The operation was percutaneous, without incision, and the load was borne immediately after operation.
five
It is the first time that large-diameter single-channel core decompression combined with small-diameter multi-channel core decompression is used to treat middle and early femoral head necrosis. The decompression range is wide, and the lasting effect is more lasting and accurate.
six
Using patented instruments, the controllable reamer was pioneered to expand and decompress the medullary core quadrant by quadrant, which greatly reduced the complications of subchondral bone penetration of femoral head during decompression surgery.
seven
Intramedullary decompression combined with tantalum rod implantation technology, high porosity tantalum metal rod can maintain the decompression effect of femoral head for a long time, with high success rate of head preservation and early load bearing after operation.
eight
The combination of medullary cavity decompression and artificial bone compression implantation technology avoids the pain and disability of taking the patient's own bone. The imported artificial bone developed and filled accurately under fluoroscopy, and there was no rejection after operation. It can be a complete peristalsis substitute and can carry more growth factors. Moreover, the femoral head has high tolerance to postoperative necrosis and collapse, which greatly improves the safety of surgery.
nine
The first operation of core decompression+partial reduction of femoral head collapse+artificial bone or tantalum rod implantation for the treatment of young and middle-aged collapsed femoral head necrosis (collapse less than 5mm) not only avoids joint replacement of young and middle-aged patients, but also restores the length of the affected limb.
10
For young patients with femoral head necrosis accompanied by severe collapse and/or hip arthritis, choosing medullary cavity decompression to preserve joints can obviously relieve pain and delay the time of total hip replacement for young patients.
1 1
Minimally invasive surgery, incision only 2cm, less trauma, less bleeding, rapid postoperative recovery, especially suitable for the elderly and bilateral femoral head necrosis surgery at the same time.
13
The team of doctors is diligent and dedicated, and the operation is progressing.
14
Good medical ethics, refusing all the belongings of patients.
15
The infection rate is very low in a 100-level laminar flow operating room.
In medical practice, it is recognized that the key to the success of core decompression for early and middle femoral head necrosis is to decompress the necrotic area accurately and thoroughly, and accurately mark the necrotic area for each patient by using the digital orthopedic technology of Mimics software before operation.
enclose herewith
Minimally Invasive Decompression and Head Protection for the Treatment of Femoral Head Necrosis in Middle-aged and Young People with Stage 3 Collapse