Femoral Head Necrosis Of The First Treatment For A Variety Of Security

ObjectiveFemoral head necrosis of the first treatment for a variety of security, In different stages of, Efficacy and clinical value.MethodsThrough the analysis reported in the literature in recent years.Resultin 1973 presented Marcus by stages, in 1985 formulated has altogether divided into 5 issue of Ficat-Arlet by stages, in 1992 presented the international bone circulation Research society (ARCO) by stages as well as in 2002 proposed the Pennsylvania University by stages, by the Pennsylvania University by stages most detailed quantification, repeatability. Restrictive carries a heavy load cannot rely on this law to cure the femoral head necrosis purely, takes one supplementary means to unify other method of treatment to have the necessity very much. The antifreeze medicine, the blood vessel relaxant, fall the fat medicine, the Chinese medicine treatment to have the improvement effect to each kind of femoral head necrosis patient, but still did not have the mutual recognition. Three physical therapies treat the display good function at the femoral head ischemia necrosis. The marrow core reduced pressure technique is suitable forâ… ,â…¡Time femoral head necrosis. The marrow core reduced pressure adds the bone transplant technique to be suitable forâ…¢Time beforehand femoral head necrosis. The dissociation belt blood vessel's fibula transplant technique is suitable for the femoral head necrosisâ…¡,â…¢The time patient, the age is smaller than 50 years old, is not accompanied by a collapse, below 40 years old has had the cartilage collapse patient, but relaxes suitably. Brings the blood vessel qia the bone petal to be suitable for femoral head necrosis's Ficatâ…¡Time sumâ…¢a,â…¢b time. The tantalum good implantation is suitable for Steinbergâ… ,â…¡Time femoral head necrosis, necrosis region is smaller than the facies articularis 30%. The osteotomy surgery wound is big, the technical difficulty is high, the femoral head has two collapses rate to be high. The MSCs treatment applies in the osteonecrosis has a more widespread indication.ConclusionsAccurate staging of femoral head necrosis is particularly important for the treatment of choice. Prohibited within a certain time limit are subject to limb load. Drug treatment is effective in slowing the progress of femoral head necrosis in. For improving symptoms of femoral head necrosis, Physical Therapy have some effect. Femoral head decompression, Necrotic bone removed, Bone conduction and Bone induction material implantation,for stageâ… ,â…¡have a higher success rate. Free vascularized fibular graft forâ…¡,â…¢patients with a high success rate. Simple or joint transfer of pedicled bone (periosteal) flap, forâ…¡,â…¢stage and part of stageâ…£patients have good results. Porous tantalum rod implantation for advanced osteonecrosis of femoral head after the early clinical results are encouraging. Osteotomy has not been widely accepted as the standard way of treating femoral head necrosis. MSCs transplantation has good clinical prospects.