股骨头坏死又称为股骨头缺血性坏死或股骨头无菌性坏死,指股骨头血供受损或中断,导致骨髓成分及骨细胞死亡及随后的组织修复,继而导致股骨头结构改变及塌陷,引起患者髋关节疼痛及功能障碍的疾病,是造成青壮年髋关节残疾的常见疾病之一。
股骨头坏死被称为不死的癌症,严重地威胁着患者的身心健康,需要及时治疗。我们应该都知道股骨头坏死的典型症状就表现为骨头疼痛,股骨头坏死患者早期痛苦开端为隐痛、钝痛、间歇痛,活动多了痛苦加剧,歇息可以减轻或减轻。
在门诊中,不少股骨头坏死的患者都忧心忡忡地问我:“得了股骨头坏死,是不是以后就残疾了?”股骨头坏死是一种进展性的骨科疾病,现代医学目前对于其确切病因尚未完全明确,但通常认为与创伤、长期大量使用激素、酗酒、减压病以及一些自身免疫性疾病等因素有关。
Conservativetreatments for aseptic osteonecrosis of the femoral head have their ancestor inthe core decompression of the femoral neck, recommended by Ficat. Due toinconsistent results, this treatment has been optimized by either vascularizedfibular grafting, or by injecting autologous stem cells into the necrotic zone.The French promoters have published long-term results, showing efficacy in theearly stages of the disease, where the femoral head has not yet lost itssphericity. Over the last 10years, comparative studies, sometimes randomized,opposing them to simple core decompression, have been published bynon-promoters, confirming the possibility of stabilization or even regressionof necrosis area. But these techniques are not easy to implement. Cell therapyrequires treatment of marrow samples by centrifugation to obtain a pellet witha high concentration of haematopoietic cells. The now proven long-term efficacyas well as the safety of this technique make it the method of choice fortreating young patients detected at the sub-radiological stage by MRI.Unfortunately, many are seen late with detached cephalic cartilage or collapsedfemoral head and have no other option than total hip arthroplasty. Thistechnique is very reliable. With alumina ceramics, results of more than 20yearsshow the absence of wear and osteolysis, although other complications such asinstability or periprosthetic fractures may occur in these young and activepatients.
极目新闻记者 曹洋通讯员 周珊凡事亲力亲为的李先生(化姓),最近变得不爱动了,只要运动左腿便疼痛难耐,秒变“僵”“跛”步态,经医生诊断患上了股骨头缺血性坏死。4月11日,经过治疗后李先生的左髋部疼痛显著缓解,步态已恢复正常。
极目新闻通讯员 张素华 陈舒七旬婆婆运动时左腿疼痛难耐,秒变“僵”“跛”步态,经医生诊断患上了股骨头坏死。近日,武汉市第三医院骨科医生为婆婆进行左侧全髋关节置换术,她的疼痛显著缓解,11月21日,她的步态已恢复正常,顺利出院。