Pros and cons of surgical and conservative femoral head necrosis

  What are the current methods of treating osteonecrosis of the femoral head and what are the advantages and disadvantages of each?  At present, Western medicine has no special treatment for this disease, Western countries have invested a lot of manpower and financial resources to research and conquer this stubborn disease of osteonecrosis, the following list of Western medicine methods for reference.  1, interventional therapy: once popular, is the drug directly into the arterial vessels, this method is also a kind of indirect therapy, through the drug to embolism dissolution, in order to achieve curative effect. However, there are numerous disadvantages.  1, not suitable for senior patients: this type of patients are mostly accompanied by atherosclerosis, vascular brittleness, prone to accidents.  2, easy to make the endothelial hyperplasia triggered vascular occlusion, aggravating the disease.  2, drilling decompression: some people call osteonecrosis as intraosseous hypertension, so there is a drilling decompression therapy, the therapy has been basically eliminated, it is only suitable for early patients, drilling can stop the disease, clinical verification, is not ideal, and the head of the femur and re-inflicted damage, or poor sturdiness, but also easy to cause the head of the femur collapse.  3, with vascular graft: the nearby blood vessels are bundled together and implanted in the necrotic area, the clinical are only preoperative imaging, no postoperative test; and many patients have done this operation, and keep no weight-bearing after the operation, the result is still tends to deteriorate.  4.Bone flap transplantation with vascular tip: the femoral flap of the femur or the rotating internal iliac artery bone flap is transplanted into the osteonecrosis area, which is clinically proven to have a minimal survival rate, and is traumatic and expensive.  5.Femoral head replacement: This method is the most commonly chosen therapy in Western medicine, but its indications are narrow, and the many complications make patients shudder and shudder.  1, age limit: only suitable for the elderly over 60 years old and physically strong people, and people of this age are mostly accompanied by other diseases, weak and unable to tolerate the trauma brought by surgery.  2.It is suitable for people with femoral head necrosis causing shortening of the affected limb up to 5cm or more.  3, young people can not do this surgery: because young people have more activities, wear and tear on the prosthesis, and every 10-15 years need to be replaced again, and the second surgery is much more difficult than the first, the third and fourth is even more unthinkable.  4, rejection reaction: post-operative fever, redness, swelling, pain, etc.  5, complications: post-operative pain, activity limitation, acetabular grinding through, prosthesis fracture, prosthesis infection, bone cortex penetration, intra-operative femoral neck splinter fracture, fat embolism, etc. This method without any retreat is like gambling, and if you lose, you will regret for life. Therefore, some doctors in the clinic advise patients in the early and middle stages not to treat them and let them develop to a serious state before performing to this surgery, which is obviously unscientific, but instead delays the best time to treat the condition.  Therefore, there are many conservative therapies using traditional Chinese medicine, such as: 1, external traction and internal medicine: for the relief of pain, bone quality changes have a significant effect, delaying the development of osteonecrosis.  2, massage, acupuncture, physiotherapy, fumigation can improve circulation, for the series of complementary therapies for the disease.  3, functional exercise: reasonable and appropriate exercise 4, diet therapy: can eat more calcium, phosphorus appropriate high protein, low fat food, reasonable with diet.  Our department treats the necessary process of femoral head necrosis repair in stages and in different types of evidence. It overcomes the drawback of one medicine for a thousand people and one treatment for ten thousand people. We focus not only on pain relief, but also on bone repair. Improve the limitation of functional activities and ultimately improve the quality of life.