1, we must strengthen the awareness of hip self-protection.
2. Watch your step when walking, and be careful of wrestling, especially when walking in the snow and ice in winter.
3. Before physical exercise, you should fully prepare your hips, feel hot and have flexible limbs.
4. When carrying and carrying heavy objects, you should avoid hip sprain and try not to do heavy work.
5, hip joint injury should be treated in time, must not be in the case of injury unhealed, too much walking, so as not to repeatedly damage the hip joint.
6, in the treatment of certain diseases, especially some painful diseases, try not to use or use less hormone drugs.
7. Try not to get into the habit of drinking heavily for a long time.
8. The femoral neck fracture should be treated with strong internal fixation and bone grafting with vascular pedicle bone flap to promote the healing of femoral neck, increase blood supply to the head and prevent osteonecrosis. Regular follow-up should be conducted after operation, and Chinese medicine and calcium should be taken orally appropriately to promote blood supply and prevent the occurrence of femoral head ischemia.
9. When hormones must be applied to related diseases, it is necessary to master the principle of short-term moderation and cooperate with vasodilators, vitamin D, calcium agents, etc. And don't abuse hormone drugs without listening to the doctor's advice.
10, it is necessary to get rid of the bad habit of long-term alcoholism or abstinence, get rid of the contact environment of pathogenic factors, remove the chemical toxicity of alcohol and prevent tissue absorption.
1 1. For professional factors such as deep-water divers, high-altitude pilots and people working in high-pressure environments, we should pay attention to labor protection and improve working conditions. Those who are really sick should change jobs and seek medical advice in time.
12, the diet should be: don't eat Chili, don't drink alcohol, don't take hormone drugs, pay attention to increasing calcium intake, eat more fresh fruits and vegetables, get more sunshine, prevent weight bearing, and exercise regularly, which can prevent femoral head necrosis.
[Edit this paragraph] Early signs and causes of femoral head necrosis
There are mainly the following points to note:
(1) Knee joint pain caused by hip joint disease, also known as ectopic pain, is the main symptom of early femoral head ischemia. Because it is far away from the hip joint, it is often overlooked and easily misdiagnosed as arthritis or joint injury, but it is actually a radiation symptom related to femoral head necrosis. This kind of pain can be caused by fatigue, trauma, heavy drinking, excessive activity, going up and down stairs, etc.
(2) Children aged 3 2)3- 10/0 had a history of minor trauma or upper respiratory tract infection before onset. Sudden onset, the child refers to pain in the knee joint and thigh, which turns to pain in the hip joint a few days later, and then causes limping, hypothermia, fever and tenderness in the hip joint. The affected hip joint maintains slight flexion and adduction, and the pronation and abduction activities of the hip joint are obviously limited. Compared with the photos of the hip joint, the epiphysis and cartilage surface are not smooth.
(3) patients with dermatoses (such as psoriasis and erythema multiforme). Treatment with steroid drugs can slow down the synthesis of osteoblasts, hinder the transformation of pre-osteoblasts into osteoblasts, and absorb shadow 9 into calcium from the intestine, leading to osteoporosis. After trauma, fractures may occur, resulting in decreased resistance and bone compression or collapse. Due to the compression of bone marrow cells and capillaries, the obstruction of blood supply will lead to osteonecrosis. If it occurs in the femoral head, it is femoral head necrosis. When you find that you are limping when you walk, relieved after a rest, and feel uncomfortable or sore when you sit down, you should probably be alert to this disease.
(4) Hyperlipidemia is aggravated after long-term excessive drinking. According to statistics, when men drink more than 250 grams (half a catty) every day, the free fatty acids in the blood will increase, which can lead to intravascular embolism in bones and eventually lead to osteonecrosis. Early feeling of hip and knee pain, especially at night or after fatigue, sometimes feeling pain in the inner thigh or knee joint, is mostly diagnosed as rheumatism. This abnormal feeling is the early "hip coronary heart disease", and delayed treatment will cause irreparable disability sequelae.
(5) Recessive diseases. The number of phalangeal tissue cells decreases, the hip bone structure is loose, the physical strength of bone is weakened, and repeated microfractures cause bone ischemia. Because I don't understand it, it will take several years before symptoms appear, so it is called "silent disease". The incidence of elderly people in cities is higher than that in rural areas. Hip joint is easy to occur, and incomplete femoral fracture is not easy to be found in early patients. After walking for too long, they only feel tired or limping, and their thigh muscles gradually shrink and thin. These abnormal phenomena suggest that "hip coronary heart disease" is about to happen. Prevention is better than cure. Pay attention to supplement enough protein, vitamin D and calcium in the diet, and often eat shrimp, small fish and crabs, which has a miraculous effect on strengthening bones and muscles.
[Edit this paragraph] Advantages and disadvantages of various methods for treating femoral head necrosis
At present, there are many methods to treat femoral head necrosis, each of which has its own advantages and disadvantages. At present, there is no specific treatment for the disease in western medicine, and western countries have invested a lot of manpower and financial resources to study and overcome the stubborn disease of osteonecrosis. The following are various methods of western medicine for your reference.
1. Interventional therapy: It used to be all the rage, that is, injecting drugs directly into arterial blood vessels. This method is also an indirect therapy, and the curative effect is achieved by dissolving embolism with drugs. But it also has many shortcomings.
1) is not suitable for elderly patients: most of these patients are accompanied by arteriosclerosis and fragile blood vessels, which are prone to accidents.
2) Intima hyperplasia is easy to cause vascular occlusion and aggravate the condition.
2. Decompression by drilling: Some people call osteonecrosis intraosseous hypertension, so the therapy of decompression by drilling has been basically eliminated. Only suitable for early patients. Clinical verification shows that it is not ideal to prevent the disease after drilling, and it has caused secondary injury to the femoral head or poor stability, which is easy to cause the femoral head to collapse.
3. Transplantation with blood vessels: bind the nearby blood vessels together and implant them into the necrotic area. Clinically, there is only preoperative angiography without postoperative research; Moreover, many patients have had this operation, and there is no burden after operation. Therefore, their situation is still deteriorating.
4. Bone flap transplantation with vascular pedicle: the femoral flap of quadratus femoris or the bone flap of internal circumflex iliac artery was transplanted to the osteonecrosis area. Clinical verification shows that the survival rate is minimal, and it is traumatic and costly.
5. Femoral head replacement: This method is the most commonly used treatment method in western medicine, but the indications are narrow, and many complications make patients shudder and creepy.
1) Age limit: It is only applicable to the physically strong elderly over 60 years old, but most people of this age are accompanied by other diseases, weak and unable to bear the trauma caused by surgery.
2) It is suitable for patients whose limbs are shortened by more than 5cm due to femoral head necrosis.
3) Young people can't have this operation: because young people have more activities and wear prostheses, they need to be replaced every 10- 15. The second operation is much more difficult than the first operation, and the third and fourth operations are even more unimaginable.
4) Rejection: postoperative fever, redness and pain.
5) Complications: postoperative pain, limited activity, acetabular wear, prosthesis fracture, prosthesis infection, cortical penetration, intraoperative femoral neck split fracture, fat embolism, etc. This hopeless method is like gambling. If you lose, you will regret it for the rest of your life. Therefore, it is obviously unscientific for some doctors to advise patients in the early and middle stages not to be treated and let them develop to a serious state before doing this operation. Instead, it delayed the best time to treat their diseases.
Due to the inadaptability of western medicine treatment, there have been many conservative treatments using Chinese medicine in China, such as:
1, external treatment, traction and oral administration: for the relief of pain, the change of bone has obvious effect on delaying the development of osteonecrosis.
2. Massage, acupuncture, physical therapy and fumigation can all improve circulation, and they are a series of adjuvant therapies for this disease.
3. Functional exercise: reasonable exercise.
4, diet: you can eat more high-protein, low-fat foods containing calcium and phosphorus, and reasonably match the diet.
[Edit this paragraph] What kind of influence does femoral head necrosis have on sexual life?
After femoral head necrosis, it is more certain that there must be images of husband and wife's sexual life on the femoral head. According to the theory of traditional Chinese medicine in China, from the function of kidney, the kidney dominates bone and produces marrow, and the kidney will be weak after a long period of bone disease. Modern medicine also agrees with this point, and kidney deficiency can lead to bone diseases. Excessive sexual life of husband and wife will cause kidney deficiency, which will affect the growth of bone cells, so there are certain requirements for normal sexual life of husband and wife after femoral head necrosis. Too much life of husband and wife will weaken the function of kidney, and the kidney can't nourish bone tissue normally, which is not conducive to the need of repairing femoral head necrosis. From this point of view, patients with femoral head necrosis can't have sex for a normal number of times, and it is best to have less sex than husband and wife as much as possible to ensure the repairing power of femoral head necrosis.
Many patients with femoral head necrosis dare not have sex, thinking that as long as they have sex, femoral head necrosis will worsen and they dare not have sex for months or years. This is the disharmony of family life, and the mental burden of patients is very heavy, which leads to the physical pain, mental pain and sexual psychological guilt of patients with femoral head necrosis. It is unnecessary to be afraid of affecting the repair of femoral head necrosis. Patients with femoral head necrosis have a certain sexual life, which has no effect on the repair of osteonecrosis. According to age, it is better to have sex with couples with femoral head necrosis 1 time or twice a week, which will not affect the repair of femoral head necrosis.
In terms of hip joint function, the femoral head is severely flattened in the late stage of femoral head necrosis, and the acetabular glenoid lip is seriously proliferated, which limits the range of motion of the femoral head and the abduction function of the hip joint, and it is impossible to lead a normal sexual life between husband and wife.