Many people have heard of the disease “osteonecrosis of the femoral head”, and there are private hospitals named after this disease in the capital city, with a commercial atmosphere ……
So, how much do you know about “femoral head necrosis”, the following are some frequently asked questions to answer.
Q1.What is femoral head necrosis?
It is also called ischemic necrosis of the femoral head, which refers to the structural changes of the femoral head caused by necrosis of the trabeculae in the weight-bearing area of the femoral head, deformation and collapse of the femoral head, aseptic inflammation of the joint, pain and dysfunction.
Q2.How is femoral head necrosis caused?
1. A previous femoral neck fracture Gradually occurs after the fracture heals and walking. This is related to the type of femoral neck fracture, age, operation method, operation time, reset situation and other factors.
2, Alcohol High incidence in long-term heavy drinkers.
3.History of hormone application The incidence is high for those who have used glucocorticoids for a long time due to other diseases.
Q3.What are the symptoms of femoral head necrosis?
1.Hip pain can be located in the groin, hip or “big hip” lateral.
2.Limited hip joint activities Commonly, internal and external rotation activities are limited, and there may be joint stiffness.
3, limp Long-term pain leads to limp, and in advanced stage, femoral head collapse and lower limb inequality lead to shortening limp.
Q4.Which part of the femoral head is necrosis painful?
It is often pain in the groin, hip or the outer part of the “big crotch”. Some people will feel pain in the knee joint, which is due to the radiating pain of the saphenous nerve. Therefore, when you meet a patient who says the knee joint is painful, an experienced doctor will definitely check the hip joint at the same time.
Q5.How long can I live with femoral head necrosis?
This disease does not directly affect life expectancy. It is not a tumor, it does not metastasize, and it is not contagious. However, severe cases can cause severe pain and affect the quality of life, even losing the ability to move. Life lies in movement, if bedridden for a long time, complications will also indirectly affect life expectancy.
Q6.What kind of medicine can I take for femoral head necrosis to get better quickly?
No medicine is good enough.
No medicine can cure osteonecrosis of the femoral head.
Non-steroidal anti-inflammatory and analgesic drugs can reduce the pain symptoms.
Q7.Can osteonecrosis of the femoral head be cured?
Yes.
Treatment includes: early stage patients can undergo femoral head drilling and decompression; advanced cases need to undergo artificial hip arthroplasty.
Q8.How to maintain the femoral head necrosis?
1. Quit drinking or end the use of hormones.
2, reduce walking, avoid strenuous exercise, and support crutches as early as possible.
Q9.Is surgery for femoral head necrosis a big risk?
Not much. Artificial hip arthroplasty is a mature technology, the effect is sure and the success rate is high.
Q10.How much does the surgery for femoral head necrosis cost?
The total hospitalization cost is about: 20,000-30,000 for drilling and decompression (about 10,000 out of pocket for medical insurance patients); 60,000-80,000 for artificial hip replacement (about 40,000 out of pocket for medical insurance patients).