Early stage of femoral head necrosis 1, early stage of femoral head necrosis (Ficat stage I-II) can be cured? For this problem, there are many early stage femoral head necrosis patients will consult, even with such a glimmer of hope to the clinic, in fact, for early stage femoral head necrosis, despite years of worldwide research, also obtained some treatment methods for early treatment, but at present, the world has not been able to restore the necrotic femoral head to the same normal femoral head as normal people, including a variety of so-called The current treatment does not break through the treatment purpose of “relieving pain and slowing down the development of lesions”. 2, early necrosis of the femoral head is really some propaganda as said “immortal cancer”? This kind of propaganda appears from some hospitals to intimidate patients, in order to prompt patients to their medical treatment, buy drugs, often some kind of non-standardized treatment or a large number of drug sales needs to make; in fact, femoral head necrosis is not as terrible as advertised, the development of heavy no life threatening, but only poor quality of life. After nearly 20 or 30 years of development in joint surgery, coupled with the development of material science, once the femoral head necrosis collapses and develops to stage 3 or 4, the existing surgery by professional doctors in large hospitals combined with wear-resistant friction interface will have a long service life, and the current imported fourth-generation ceramic service life can exceed 30-40 years. 3, how to treat early femoral head necrosis? Early stage femoral head necrosis is currently treated by a hundred different methods, including oral Chinese medicine and proprietary Chinese medicine, various wave therapy, drilling decompression implant, gene therapy, stem cell transplantation, interventional therapy through the blood vessels, fibula transplantation, tantalum rod implantation, bone peptide injection, etc. The reason why there are so many treatment methods is that there is no one method that can completely solve the problem, all the current early stage treatment The efficiency (i.e., relieving pain and slowing the progression of the lesion) does not vary much. Combined with the characteristics of the disease itself, some highly traumatic treatments are not recommended, after all, it takes a lot of manpower and material resources, and ultimately is not a cure. I would currently advise patients in the clinic: (1) lifestyle changes: quit drinking, quit smoking, reduce weight bearing (i.e., less work), try to walk by car to reduce the burden on the femoral head; (2) you can take oral Chinese medicine or traditional Chinese medicine, but do not be overly superstitious Chinese medicine can be applied in moderation. There are many patients who superstitiously believe that Chinese medicine is a life-saving straw, and superstitiously believe that Chinese medicine can cure, and many people have suffered from liver and kidney damage due to long-term application of Chinese medicine; (3) you can drill for decompression and bone graft; (4) I personally think that other treatments are not particularly recommended, such as interventional vascularization, after all, the microscopic blood vessels in the femoral head are in the very hard bone, and there are so many bends and turns, unlike the heart and The blood vessels in the brain have room for expansion, and many of the patients seen in the clinic who had this treatment did not have very good results. 4. Do I need to use crutches or a wheelchair in the early stage of femoral head failure? In the 70’s and 80’s, when joint surgery was not very effective, there were many orthopedic patients (there was no specialization at that time) who used to let patients hold crutches or sit in wheelchairs in order to reduce the burden on the femoral head, relieve pain and slow down the development of the disease. Reducing activities, not lifting, carrying, carrying and holding heavy objects will be sufficient. Even if it develops to stage 3 or 4, my surgery here is not a major surgery, it is a routine surgery, and the replacement effect is so good that you don’t have to worry about life and work at all. I have too many cases with quite satisfactory post-operative recovery that I will show to my friends who are suffering from femoral head necrosis. 5.Is there any pre or suspicion of femoral head necrosis? In fact, after the application of MRI to clinical practice, the diagnosis of early femoral head necrosis has become clear. Magnetic resonance see necrosis signal on the diagnosis of necrosis, if there is no necrosis signal can confirm the diagnosis of no femoral head necrosis, in a clear magnetic resonance film this can have a very positive answer, so there is no pre or suspected necrosis said. 6, there are cases of femoral head necrosis misdiagnosis? Misdiagnosis is not uncommon clinically, the common misdiagnosis are as follows: (1), early cases cannot be diagnosed from the X-ray film and cause misdiagnosis; (2), there are also hip osteoarthritis diagnosed as femoral head necrosis, osteoarthritis is mainly manifested as cystic changes below the joint surface, hardening of the joint surface, periarticular osteophytes and narrowing of the joint space, and early femoral head necrosis if the X-ray can see the changes If the early stage of femoral head necrosis can be seen on the X-ray, it is hypodensity and unevenness in the necrotic area, cystic change is obvious, and the change of joint space and hardening of joint surface will not appear in the early stage. (3), the other most common misdiagnosis is that many orthopedic surgeons, and even radiologists diagnose acetabular dysplasia as femoral head necrosis. In fact, it is easy to distinguish between the two. Patients with dysplasia have shallow, flat acetabulum and poor inclusion of the femoral head, and as they grow older, osteoarthritic changes will occur, such as cystic changes below the joint surface of the acetabulum and the weight-bearing area of the femoral head, hardening of the joint surface, periarticular osteophytes and narrowing of the joint space and other X-ray changes, whereas changes in the joint space and hardening of the joint surface will not occur in the early stage of femoral head necrosis. Originally, it was acetabular dysplasia, which resulted in the diagnosis of femoral head necrosis, and the treatment of necrosis according to the treatment of necrosis every day and every year with the herbal medicine of necrosis is very common in outpatient clinics, so there is a big deviation in the treatment. Of course, occasionally there are cases where necrosis and dysplasia coexist, which is still rare.