How to treat femoral head fracture and what should I eat?

Femoral head fracture (FFH) rarely occurs, but accounts for about 11.7% of posterior hip dislocation caused by high energy. After treatment, femoral head fracture may still cause osteoarthritis, ischemic necrosis of the femoral head and heterotopic ossification, which will seriously affect the patient's prognosis. Generally, there are the following treatment methods.

Medication

1. Non-surgical treatment is feasible for patients with fractures without hip dislocation if the fracture fragments are not obviously displaced or compressed. After the patient rests in bed for 3 weeks, he or she can get up with crutches and not bear weight on the injured limb. Giebel believes that long-term traction should be avoided, otherwise it is easy to cause ischemic necrosis of articular cartilage and joint stiffness. Fractures with dislocation should be reduced immediately. During reduction, anesthesia should be sufficient, and violence should be avoided, and efforts should be made to successfully reduce the fracture fragments in one go. If two consecutive failures occur, surgery should be considered. After reduction, an X-ray is taken to understand the reduction situation, and a CT scan is performed to clarify the position, size and displacement of the fracture fragments.

2. Surgical treatment: When the fracture fragment is obviously collapsed, displaced, embedded in the interarticular space, dislocated and the manual reduction fails or is combined with nerve damage, open reduction should be performed immediately. According to the location of the fracture fragment, choose the anterolateral or posterolateral approach to expose the hip joint and dislocate the femoral head from the acetabulum. If the bone fragment is small, it can be removed. If the fracture fragment is large, it should be reduced and fixed with screws. When the fracture fragment is large and thick, cancellous bone tension screws can be inserted retrogradely through the extra-articular part of the femoral head. If there are difficulties, only absorbable screws can be drilled in tandem, and the screw head should be lower than the cartilage surface (Figure 3). If the fracture part collapses, it should be pried up and padded with autologous cancellous bone. If the collapse area exceeds half of the joint's weight-bearing surface, comminuted fractures are difficult to fix internally, or there is a femoral neck fracture, joint replacement should be considered. After surgery, the joint should be repeatedly flushed before suturing to avoid leaving cartilage or bone fragments. Negative pressure drainage should be left in place for 24 to 48 hours.

Diet therapy

Early stage: 10g of Panax notoginseng, 10g of Angelica sinensis, 1 pigeon, stew until cooked, eat the soup and meat together, once a day, for 7-10 days. Middle stage: 10g of Angelica sinensis, 15g of Bone Broth, 10g of Suduan, 250g of fresh pork chops or beef ribs, stew for more than 1 hour, eat the soup and meat together, for 2 weeks. Late stage: 10g of Lycium barbarum, 15g of Bone Broth, 10g of Suduan, 50g of Job's tears. Fry the Bone Broth and Suduan first, remove the residue, then add the remaining two ingredients to cook porridge for consumption.

Other dietary treatments

Recipe 1: Boil an appropriate amount of red beans, add a little brown sugar and drink it warm. This recipe is suitable for the period of promoting blood circulation and removing blood stasis.

Recipe 2: 1000 grams of pork bones, 250 grams of soybeans, add water and simmer until soft, add salt and ginger to taste and share.

Recipe 3: Wash a pig spine, add 120g red dates, 90g lotus seeds, 9g each of agarwood and raw licorice, add water and simmer over low heat, add ginger and salt to taste and drink it in several doses.

Recipe 4: Take the meat (with roe) of 2 fresh lake crabs. When the glutinous rice porridge is cooked, add the crab meat. Add appropriate amounts of ginger, vinegar and soy sauce and eat it regularly.

Recipe 5: 1 black rooster (about 500 grams), remove the skin and internal organs, wash it, slice 5 grams of "Sanqi" and put it into the chicken's stomach, add a small amount of rice wine, stew it in water, and when it is cooked, dip it in soy sauce and take it regularly.

Recipe 6: 30-60 grams of raw Astragalus, boil it to extract the juice, add 100 grams of polished rice, cook into porridge, and take it in the morning and evening.

Recipe 7: 20 grams of angelica root, 100 grams of astragalus root, 1 young hen, add water and cook into soup for consumption.

Recipe 8: Wash 50 grams of purple salvia miltiorrhiza, add water and boil, extract the juice, cook it with 1000 grams of pig long bones and 250 grams of soybeans, wait until it is cooked, add a small amount of cinnamon and salt.

Recipe 9: 500g raw crab, mash it, take 250g with hot rice wine, apply the remaining residue to the affected area, and it will heal after about half a day when you hear a "gege" sound. Used for fracture setting.