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Purpose: The purpose of this study is to summarize and analyze pith decompression bone grafting treatment of early avascular necrosis of the clinical data and follow-up results, and with non-surgical treatment of femoral head early ischemia line necrosis efficacy compared to explore Core decompression and bone grafting clinical efficacy for the treatment of early avascular necrosis of the application, to provide the basis for clinical marrow core decompression and bone grafting in the treatment of early avascular necrosis. : In all cases Department from March 2004 to October 2008, Hubei Province Traditional Chinese Medicine Hospital, Wuhan Wuchang Hospital of Enshi Central Hospital orthopedic ward, the inclusion criteria and case exclusion criteria based on the cases, 56 cases of the 60 hip femoral head necrosis in patients divided into Group A (treatment group) femoral head core decompression and bone grafting in 28 cases (30 hips) and group B (control group) conservative treatment options 28 patients (30 hips). The sex of the patient in the treatment group and the control group, the limb of the age of the causative factors, lesion staging and course of the disease by the statistical tests, no significant difference (P gt; 0.05), comparable. Program of treatment group: All patients were using core decompression take ipsilateral iliac bone graft, skin traction after braking limb outreach, internal rotation placement, use the CPM machine rehabilitation limb prohibited within 1.5 weight-bearing, lateral, cross-legged, three months after the gradual weight-bearing walking. Control group: patients by avoiding limb weight, the drugs improve local blood circulation and electric stimulation therapy. According to the Harris hip score standard clinical assessment, all cases were followed up after treatment the patient return visits, telephone survey, in 18 to 22 months to complete comprehensive data collection scheduled OUTCOME MEASURES. Then statistically analyzed by SPSS15.0 Harris scores of the two groups before and after treatment with t-test, Harris classification evaluation if there is a significant difference with Ridit test, test indicators, in order to compare two treatment advantages and disadvantages, and the last to make further analysis and conclusions. Results: All patients were followed up for follow-up of 15 to 36 months, average follow-up time of 20 months. Reference to the evaluation of the Harris hip score, the treatment group were excellent in 18 patients (20 hips), suffering from hip pain symptoms improved significantly or disappear without significantly limited hip function activities; 3 good and 3 hip, hip activities to alleviate pain, even taking pain drugs; 4 hip, symptoms eased, but still need to take painkillers, poor three cases of hip, symptoms and joint function was not improved, the of late femoral head collapse deformation, artificial joint replacement surgery recovery to normal activities. Excellent in 8 patients of the control group, 10 hips, good in 4 cases of hip, eight cases of hip and poor in eight cases of hip. Conclusion: The core decompression and bone grafting treatment of early avascular necrosis (Ficat Ⅰ ~ Ⅱ period) can relieve the symptoms of hip pain and improve hip joint function, reduce or delay the incidence of femoral head collapse, the exact treatment role.
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