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.
相比于传统关节置换术式,SuperPath入路微创髋关节置换术更具微创性、安全性及美观性,此术式保留了标准后侧入路的所有优点,手术切口长度仅约6-8cm,手术经肌间隙进入,无需切断髋关节周围的肌肉,几乎保存了髋关节周围所有的肌肉功能及完整的关节囊,且极大降低了人工髋关节置换术后假体脱位率,不必忍受传统髋关节置换术带来翻身、起坐受限的束缚。
文章来源: 罗智鸿, 杨 帆, 杨 鹏, 陈晓俊, 龚水帝, 庞凤祥, 何晓铭, 沈莹姗, 李伟峰, 陈立新, 魏秋实, 何 伟, 陈镇秋 . 富血小板血浆对股骨头坏死保髋术后凝血相关血液指标的影响. 中国组织工程研究, 2020, 24: 2393-2398.
鲁网6月26日讯6月24日下午,菏泽市第二人民医院李志银骨科团队,根据患者病情需要,为一双侧股骨头坏死病人,实施右侧人工全髋关节置换术、左侧股骨头髓芯减压术,手术顺利,术后病人病情平稳,第二天已下床行走。
齐鲁网·闪电新闻8月15日讯 股骨头坏死,临床表现为疼痛、功能障碍,患了这种疾病会极大地影响工作、生活。今年60岁的济南平阴县玫瑰镇西胡庄村村民刘吉臣,此前患双侧股骨头坏死疾病近20年。得益于济南市残疾人福利基金会推出的助残政策,接受手术治疗后的刘吉臣如今已恢复正常行走能力。
近日,赣州市第三人民医院外科住进一位因长期酗酒致酒精所致精神障碍合并左侧股骨头坏死的患者叶叔叔。叶叔叔因酒精长期刺激股骨头周围的小动脉,导致血管变性及粥样硬化,进而引发股骨头局部缺血缺氧,多年右髋关节肿痛,并伴有髋关节活动受限,行走困难。
股骨头坏死是生活中比较常见的一种骨科疾病。但是多数的人对于这样的一种疾病症状类型都不是很了解。下面就几种常见的疾病的病症类型提供大家了解一下。1、质疏松导致骨坏死。临床表现为下肢酸软无力、困疼、不能负重、易骨折。2、术后骨坏死。