Treatment principles and methods of femoral head necrosis

The treatment of femoral head necrosis should be formulated according to the course of the disease, cause and individual characteristics. In principle, it includes controlling the cause, promoting repair and relieving pain. It is mainly divided into conservative treatment and surgical treatment. Specific methods include drug therapy, physical therapy and surgical intervention.

1. Medication

Drug treatment is mainly used for early-stage lesions to control the disease by improving blood circulation, promoting bone cell repair and relieving pain.

- Antiplatelet drugs: such as aspirin, can prevent vascular embolism in areas of bone ischemia and improve microcirculation.

-Nitroester drugs: such as nitroglycerin, used to dilate blood vessels and enhance blood supply in the medullary cavity of the femoral head.

-Calcium regulators: such as salmon calcitonin, which promote bone metabolism and delay the collapse of the femoral head.

Drug treatment is suitable for patients without bone collapse in the early stages. It should be taken under the guidance of a doctor and the patient should be alert to potential side effects.

2. Physical therapy and lifestyle adjustments

Physical therapy and lifestyle adjustments can play a role in controlling disease progression and promoting recovery and are suitable for patients with mild to moderate disease.

-Low-weight exercise: Reduce the burden on the hip joint and avoid further damage to the femoral head. Methods such as using crutches and limited walking can be used.

-Magnetic therapy and shock wave therapy: promote bone repair, increase local blood flow, help relieve symptoms and improve function.

-Avoid high-risk behaviors: quit smoking and drinking, control hyperlipidemia, and reduce adverse effects on blood circulation and bone metabolism.

This stage emphasizes changing bad lifestyle habits while adhering to physical therapy to help control the disease.

3. Surgery

Surgery is particularly important for patients with advanced femoral head collapse or who have failed conservative treatment. Its goal is to restore hip joint function and avoid disability.

-Core decompression: It reduces the pressure in the medullary cavity by removing necrotic bone tissue. It is suitable for early and middle stage patients.

- Bone grafting: Use autologous or allogeneic bone grafts to replace necrotic areas, support the femoral head structure and promote repair.

-Total hip replacement: For patients with advanced collapse, replacement of the artificial joint to restore mobility is an effective but carefully managed option.

After surgery, the rehabilitation plan must be strictly followed to prevent the occurrence of complications.

Femoral head necrosis is a disease with serious consequences and complex treatment. Early detection and early intervention can better control the disease, and surgery is required to improve the quality of life for patients in the advanced stage. If you have persistent hip pain or limited mobility, you should see a doctor as soon as possible to get a clear diagnosis and develop a treatment plan.