Can necrosis of the femoral head be treated conservatively?

Necrosis of the femoral head is a common disease in orthopedic clinics, it is a disease in which the blood supply to the femoral head is interrupted or damaged, which leads to structural changes of the femoral head, collapse of the femoral head, and dysfunction of the joints. Among them, 5%

~10% need artificial joint replacement, and young patients will also face the problem of artificial joint revision, so how to slow down or stop the progression of the disease is the key to delay joint replacement.

To date, there is no real drug or biophysical nonsurgical therapy that can cure all types of osteonecrosis of the femoral head.

Currently, various modified medullary core decompression procedures have been shown to be the safest and most commonly used in the treatment of early and intermediate stage ANFH.

First of all, we believe that the Chinese medicine recommended by some hospitals for the treatment of necrosis of the femoral head is not desirable, at most, it can relieve the pain and improve part of the function, but it can't control the development of the disease, resulting in irreversible femoral head collapse of the disease!

The best way to treat necrosis of the femoral head in the early stage is minimally invasive medullary decompression artificial bone implantation, and in the late stage, artificial joint replacement is needed. The characteristics and advantages of orthopedic femoral head necrosis preserving joint surgery in Beijing 307 Hospital:

1

Innovatively put forward the principle of individualized staged treatment of femoral head necrosis, and formulated different treatment plans for different ages, different degrees of necrosis, parts, as well as combinations of different systemic diseases and medication.

2

Based on the transmission of 8-12mm large-diameter single-orifice single-orifice hollow rotary or ring-sawed medullary core decompression, nine types of medullary core decompression were innovatively developed, which greatly enriched the medullary core decompression methods of osteonecrosis of the femoral head and provided multiple choices for various types of osteonecrosis of the femoral head.

3

In medical practice, it is recognized that the key to the success of early and middle stage femoral head necrosis medullary decompression surgery is to accurately and thoroughly decompress the necrotic area, and the necrotic area is accurately demarcated for each patient using digital orthopaedic technology of Mimics software before surgery.

4

For stage 0 and 1A femoral head necrosis, small diameter multi-orifice channel medullary core decompression can be used to reverse femoral head necrosis or avoid the progression of femoral head necrosis, and the surgery is percutaneous, incision-free, and weight-bearing immediately after surgery.

5

The first large-diameter single-aperture core decompression combined with small-diameter multiple-aperture core decompression for the treatment of mid- and early-stage necrosis of the femoral head, with a wide range of decompression and a longer and more accurate decompression effect.

6

Adopting patented instruments, the first controllable reamer to expand the medullary decompression step by step in quadrant, which can realize the full decompression of necrosis of femoral head and at the same time greatly reduce the complications of the decompression surgery of femoral head subchondral bone penetration.

7

Medullary decompression combined with tantalum rod implantation technology, high porosity tantalum metal rods can maintain the decompression effect of the femoral head for a long time, with a high success rate of head preservation, and early weight-bearing in the postoperative period.

8

Medullary decompression surgery combined with artificial bone compression implantation technology, avoiding the pain and disability of taking the patient's own bone, imported artificial bone fluoroscopic visualization, filling accuracy, no postoperative rejection reaction, can be completely replaced by crawling, can carry more growth factors, and postoperative necrosis of the femoral head with a high degree of tolerance for the collapse, which greatly improves the safety of the operation.

9

The first medullary core decompression + femoral head collapse site reset + artificial bone or tantalum rod implantation for the treatment of young and middle-aged patients with collapsed (collapse less than 5mm) femoral head necrosis not only avoids arthroplasty in young and middle-aged patients, but also restores the length of the affected limb.

10

In young patients with severe collapse and/or hip osteoarthritis, the option of medullary decompression to preserve the joint can significantly reduce pain and delay the time to total hip replacement in young patients.

11

The surgery is minimally invasive, with a surgical incision of only 2cm, less trauma, less bleeding, and quicker postoperative recovery, which is especially suitable for the elderly and bilateral femoral head necrosis surgery at the same time.

13

The team of doctors is diligent and dedicated to excellence in surgical operations.

14

Good medical ethics, refusing to accept all patients' belongings.

15

Hundred-level laminar flow operating room, postoperative infection rate is extremely low.

In medical practice, it is recognized that the key to determining the success of medullary decompression surgery for mid- and early-stage femoral head necrosis is to accurately and thoroughly decompress the necrotic area, and the necrotic area is accurately demarcated for each patient using digital orthopaedic technology of Mimics software before the operation.

Attached

Minimally invasive decompression and head preservation surgery for stage 3 collapsed femoral head necrosis in young and middle-aged patients