股骨头坏死，早期的、年轻的患者应尽快接受保髋手术治疗，因为越早做效果相对越好。对于早期保髋治疗失败的，或者一发现就已经到了股骨头坏死的中晚期，股骨头塌陷，保髋治疗效果预期不理想的患者，就面临着人工关节置换手术的选择。
极目新闻记者 刘迅摄影记者 王永胜通讯员 张菡 金煦女子身患股骨头坏死多年，一直没敢做手术。今年初，她在武汉协和医院车谷院区做了全髋关节置换手术。近2个月时间，她便能重返健身房进行锻炼。日前，她向骨科张波副教授发来视频，她如今已能完成大重量的力量训练，生活也恢复了正常。
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.
