29 cases of avascular necrosis of post-operative care experience.docVIP

 PAGE \* MERGEFORMAT 8 29 cases of avascular necrosis of post-operative care experience [Keywords:] avascular necrosis Avascular necrosis (avascular necrosis of the femoral head, ANFH) based on femoral head blood supply to its pathological disorder characterized by bone disease, its causes and mechanism of the present is not clear. Without regular and timely treatment, will miss the best time of their treatment, along with weight-bearing (such as walking, Palou, lifting heavy objects, etc.) caused by femoral head collapse, the formation of osteoarthritis, it will seriously affect the quality of life. This study of 29 cases 31 had avascular necrosis surgery, after follow-up results have been proved satisfactory, their care focused on preoperative and postoperative evaluation of patients with early stage to guide the correct functional exercise, is now reported as follows on the nursing experience . 1 Data and methods 1.1 General information from January 1996 to February 2006 Jiangshan City People’s Hospital Orthopedics 31 of 29 cases of ischemic necrosis of femoral head had surgical treatment, 17 cases were males and 12 females, aged 16 to 75 years (mean age 44.52 ± 17.60) years, two cases of bilateral lesions. Were characterized by X-ray, CT or MRI confirm the diagnosis. A history of 8 months to 20 years, the average (2.12 ± 0.61) years. The etiology: trauma in 8 cases, the history of hormone therapy in 10 cases, a large number of drinking history of 4 cases of unknown cause in 7 cases. Ficat phased according to the standard [1]: Ⅰ period of 15 cases, Ⅱ 6 cases, Ⅲ period of 5 cases, Ⅳ stage in 3 cases. 1.2 treatment based on clinical manifestations and X-stage, combined with CT or MRI examination, using different treatment methods: The stage Ⅰ , Ⅱ patients with synovectomy, pith decompression pedicled anterolateral thigh fascial flap treatment A total of 21 cases; to 8 cases of stage Ⅲ , Ⅳ stage cases underwent artificial femoral head replacement o