The best treatment for early femoral head necrosis is joint decompression and stem cell transplantation, which costs 20 thousand yuan unilaterally. Joint replacement is needed in the later stage, and the minimum cost is 40,000-90,000 yuan.
Femoral head necrosis is a common clinical disease in orthopedics, which refers to the interruption or damage of blood supply to the femoral head, which leads to the structural changes of the femoral head.
Changes, femoral head collapse, joint dysfunction. Among them, 5%
0 ~ 10% need artificial joint replacement, and young patients will also face the problem of artificial joint revision. Therefore, how to delay or prevent the development of the disease is the key to delay joint replacement.
The failure rate of non-surgical treatment is about 80-92%, which is equivalent to that of non-treatment group (indicating that conservative treatment is equivalent to giving up treatment). A large number of failed cases have proved that the traditional Chinese medicine recommended by some hospitals for the treatment of femoral head necrosis is not desirable. At most, it can relieve pain and improve some functions, but it can't control the development of the disease, leading to irreversible collapse of the femoral head! Lessons are profound!
Staging of Femoral Head Necrosis by Professor Liu Yaosheng from Department of Orthopaedics, Beijing 307 Hospital of PLA and its treatment strategy.
0 phase
——
Minimally invasive percutaneous decompression with multiple needles and stem cell transplantation were performed.
Stability 1 period
Small necrotic area
——
Minimally invasive controllable reamer was used to enlarge the decompression of medullary cavity and stem cell transplantation.
Unstable 1 period
Extensive necrosis
——
Minimally invasive controllable reamer was used to enlarge the decompression of medullary cavity and stem cell transplantation.
Stabilization phase 2
Small necrotic area
The patient's pain is not obvious.
——
Minimally invasive controlled reaming decompression+artificial bone implantation+stem cell transplantation+tantalum rod implantation were used.
Instability stage 2
The necrosis range is large.
The patient has obvious pain.
——
Minimally invasive controlled reamer+artificial bone implantation+stem cell transplantation+tantalum rod implantation (use with caution)
Stabilization phase 3
The patient is young, the collapse range of necrotic femoral head is less than 4mm, and the collapse time is short. CT showed that the internal capsule of necrotic femoral head became less, and the hyperplasia and sclerosis were obvious.
——
Minimally invasive controlled reaming decompression+artificial bone implantation+stem cell transplantation+tantalum rod implantation after reduction (use with caution)
Early loading is not recommended after tantalum rod implantation.
Instability stage 3
The patient is older, the subsidence area of necrotic femoral head is more than 4mm, and the subsidence occurs for a long time. CT showed that there were more cystic changes in the necrotic femoral head, and the hyperplasia and sclerosis were not obvious.
——
Perform total hip replacement
The fourth stage
Collapse and joint space stenosis.
——
Perform total hip replacement
Advantages of Professor Liu Yaosheng in Treating Femoral Head Necrosis in Beijing 307 Hospital;
1
The combination of autologous stem cells and allogeneic fetal umbilical cord stem cells (the first in China) provides a variety of options for various types of femoral head necrosis.
2
Stem cell technology is provided by CTC Key Laboratory of Beijing 307 Hospital, which is safe, convenient and economical.
three
The combination of stem cell technology and tantalum rod technology (the first in China) has a high success rate of head protection in the middle and early stage of femoral head necrosis, and early postoperative load bearing.
four
For stage 3 femoral head necrosis with collapse less than 4 mm, bone graft/tantalum rod was used to support the femoral head after reduction, and the femoral head no longer collapsed.
five
For stage 4 femoral head necrosis with severe collapse and arthritis, joint-sparing surgery can obviously relieve pain and delay the time of total hip replacement.
6 Experience in practice
The key to the success of early femoral head necrosis surgery is to decompress the necrotic area accurately and thoroughly. Before operation, Minics software was used to accurately mark the necrotic area for each patient (the first in China).
seven
Patented instrument: step reaming with controllable reamer to realize decompression and step reaming of femoral head necrosis (the first in China).
eight
Minimally invasive surgery, the incision is only 2-3cm, the trauma is small, and the postoperative recovery is fast, especially suitable for the elderly and bilateral femoral head necrosis at the same time (the first in China).
nine
The postoperative infection rate of 100 laminar flow operating room (the allowable number of dust particles is less than 100) is extremely low.
10
The cost of hospitalization is low, and the operation is progressing!