Before the femoral head collapse: first of all, we should remove the cause of the disease, such as drinking alcohol, taking drugs, etc.; take oral anti-inflammatory and pain-relieving drugs and drugs to prevent the femoral head collapse, walk and live normally, the femoral head collapse is caused by the normal human osteoclasts to the necrotic bone crawling replacement, the main determinant of collapse is the extent of necrosis, normal walking and collapse are not related, bed or wheelchair will make muscle atrophy, the loss is not worth the gain, is not This is not a desirable approach. One is drilling and decompression surgery, which can only achieve pain relief and has no effect on the prognosis of femoral head necrosis. The other is dsa, which is usually performed for several months from the time of necrosis to the time when symptoms are detected by the patient, however, the necrotic femoral head must be revascularized within a few hours to be effective. So dsa is more of a pseudoscience. After femoral head collapse: At this time, conservative treatment is often difficult to achieve the desired effect, and hip arthroplasty becomes the treatment of choice. As one of the most successful human surgeries in the 20th century, the effectiveness of hip replacement for femoral head necrosis has long been widely recognized worldwide. My suggestion is that for patients with a life expectancy of 15 years or more, try to choose imported prostheses, and the current four generations of ceramic interface imported prostheses can theoretically be used for a long time. The domestic prosthesis in addition to the interface wear resistance is not as good as the imported prosthesis, and the long into the bone performance is not as good as the imported prosthesis, the choice should be carefully considered.
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