| Objective: The purpose of this study and analysis by summing up the pith decompression and bone graft for the treatment of early stage avascular necrosis of femoral head clinical data and follow-up results, and with non-surgical treatment of early femoral head ischemic necrosis of the effect of line compared to explore the pith decompression and bone graft for the treatment of early stage avascular necrosis of femoral head clinical efficacy, clinical use of the pith of early decompression and bone graft for the treatment of avascular necrosis of femoral head to provide a basis.Methods: All cases of the Department from March 2004 to October 2008 Chinese medicine hospital in Hubei Province, Wuchang, Wuhan City Hospital, Central Hospital of Enshi orthopedic ward, according to the standard cases and case exclusion criteria, will be 56 cases of osteonecrosis of the femoral head of 60 hip patients were divided into A group (treatment group) decompression of the femoral head bone grafting pith 30 hip and 28 cases of group B (control group) 28 cases of conservative treatment of 30 hips. Treatment group and control group of patients with gender, age, limb, the pathogenic factors, disease staging and course of disease by the statistical tests, no significant difference (P> 0. 05), comparable. Program of treatment group: All patients are admitted pith decompression ipsilateral iliac bone graft surgery, postoperative skin traction brake, limb outreach, internal rotation placement, rehabilitation training using the CPM machine, 1. 5 months, the prohibition of limb weight-bearing, lateral, cross-legged, 3 months after the gradual weight- bearing walking. Control group: patients by avoiding weight- bearing limb, drugs to improve the local blood circulation and electric stimulation therapy. Harris hip score in accordance with standard clinical assessment, all patients after treatment in January, June, December, 18, on review, including the patient follow-up visit, telephone, survey, etc., to complete the scheduled observation of indicators of data collection. SPSS15. 0 then through statistical analysis, the two groups before and after treatment Harris score using t test, Harris grade rating by Ridit test, testing whether the indicators have significant differences, thus comparing the advantages and disadvantages of two types of treatment, and finally to make further analysis and Conclusion.Results: All patients were followed up 15 to 36 months, with an average follow-up period was 20 months. Harris hip score with reference to the standard evaluation, A group of 18 cases of excellent hip 20, suffering from hip pain symptoms improved or disappeared, hip no significant limitation of functional activity; good 3 example 3 hip suffering from hip pain abatement activities and even taking painkillers medicine; 4 example 4 can be hip, the symptoms eased, but still need to take pain medication, 3 cases of 3 bad hip, symptoms and joint function improved, the late collapse of the femoral head deformation, the artificial joint replacement after the resumption of normal activities. 8 cases of group B gifted 10 hips, good in 4 cases of 4 hip, hip to 8 cases of 8, 8 cases of 8 bad hip.Conclusion: The pith of early decompression and bone graft for the treatment of avascular necrosis of femoral head (Ficatâ… -â…¡period) to lift the hip pain, hip joint activities to improve function, reduce or delay the occurrence of femoral head collapse, with the exact treatment of the role of... |
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