The novel therapy for AVN of the femoral head includes computerized image analysis system, treatment device, series of Chinese patent medicine including Cheng Zai Wan (kidney yang-warming and meridian-unblocking pills), dynamic modeling of the hip joint, pelvic balance adjustment, hip-opening device, architectural reconstruction of the hip joint, remodeling, two-way regulation of bone repair, treatment table with biological effects of magnetic field, Chinese herbal atomization to relax gluteal muscles, herbal diet, herbal bath, light-wave bath and holistic TCM nursing care, etc.
1. The General Idea of the Non-Surgical Therapy of Traditional Chinese Medicine
Based on TCM theory, use modern science and technology as a means to gain various disciplines of knowledge, continuously improve the recovery environment of necrotic femoral head, eliminate the survival condition of nidus and infectious agent, and stimulate the self-healing ability of bone tissues in order to remove dead bone, grow new bone, make the bone strong and the tendon flexible, and recover the functions.
Femoral head Necrosis is a difficult and baffling disease of orthopedics and its disability rate is very high. Late stage severe femoral head necrosis refers to patients in stagesⅢc-Ⅳ in accordance with ARCO international staging standard.
Clinical features: femoral head fragmentation, collapse, irregular shape, trabecular bone structure damages, loss of mechanical properties, and accompanied by widened or narrowed hip joint space, subluxation and osteoarthritis. Many experts believe that the late stage severe femoral head necrosis is difficult to reverse and repair, and hip replacement is the best option.
The non-surgical therapy of traditional Chinese medicine researched by our hospital may reverse and repair the late stage severe femoral head necrosis, and the curative efficacy has already been proven by a large amount of clinical cases.
2. Computerized color imaging diagnostic system of femoral head necrosis
The technology has great practicability. The gray scale and pathologic changes presented on X-ray film, which can not be easily distinguished by the eye, can be converted into identified information or image through image management via computers, according to the theory of vision of the human eye, color-space theory, and artificial intelligence. It can help to identify the pathologic changes earlier, and quantitatively analyze the level of lesions. So it can direct the treatment for the remodeling of hip joint and weight bearing. It is also significant for analyzing the changes of the lesion.
3. The release of electrical signal with TCM into acupuncture point
The theory behind is based on WOLLF’s law- “Osseous rebuilding is determined by the condition of intraosseous stress.”
To some patients by inputing electric signal into the hip, thermal release the effective components of external application TCM into body through specific acupoint. At the same time valuable traditional Chinese medicine is transmitted. The electric signal reinforces infiltration of the medicine with heating effect.
It can improve the electrochemical environment inside the hip joint and the bone inner stress state, supplement the lost microelements inside the femoral head, adjust the effects of osteoblast and osteoclast in bone remodeling, improve the strength, density and rigidity of bone trabecula, increase bone mass, improve the circulation and mechanical properties in bone, remove the dead bone, grow new bone and make the bone strong and the tendon flexible.
4. Series TCM Medicine of Cheng Zai Pill.
Evidences from animal experiments and clinical observation cases show：
This series of medicine can promote the intensity and rigidity of trabecula, recover the reticular structure, clean intraosseous fat drops, improve the distribution of capillaries, rebuild osseous structure, and improve function of hip joint.
The medicine has the following properties: microelements such as: Ca,P,Mg,Zn, dilates capillaries, eliminates inflammation, acesodyne and stimulates the synthesis of Vit.D. These strong factors contribute to the regeneration, renovation and remodeling of necrotic femoral head.
The “Chengzai Pill” pharmacodynamic animal experiment and clinical observation results indicate:
☆ Increased bone mass
☆ Increased bone density
☆ Increased bone strength and rigidity
☆ Cleared fat droplets at lacunae of the bone cell
☆ Improved low estrogen level state
☆ Improved microcirculatory system inside the bone
☆ Repaired bone structure; the curative efficacy for treating femoral head necrosis and osteoporosis is definite.
5. Immersion and atomizing fumigation by TCM
Identify and differentiate symptoms and signs by using TCM immersion and atomizing fumigation. This can obtain the effects of promoting the flow of qi by warming the channel, spasmolysis, kidney tonification and bone strengthening. It relieves the pain of femoral head necrosis and has certain curative efficacy for promoting bone structure recovery.
6. Dynamic molding method of hip joint
Based on the functional adaptibility of the bone, guide patients of femoral head necrosis to conduct selective and targeted dirigation, which not only can enhance the mechanical properties of femoral head’s elastic cartilage and fibrocartilage, but also effectively improve the density and strength of bone trabecula per unit volume, recover bone structure, reshape femoral head, and promote the improvement and restoration of hip joint functions.
①For patients with unrecovered fracture zone, they are required to walk with both crutches after taking daily medication as directed. Avoid shear force and torsion in walking. Dynamic molding of hip joint may be conducted under the guidance of a doctor upon recovery of the fracture zone.
②For patients with unstable conditions, the dynamic molding shall be conducted by adopting “bent hip molding method with crutches”, “seat slewing molding method” and “buttock clenching and leg extending method”.
③For patients with stable conditions and in the functional rehabilitation phase, the dynamic molding shall be conducted by adopting “four methods in bed” and “four methods off bed, 2-3 times a day and 40-60 minutes for each time.
7. Adjustment method for pelvis structural balance
For patients with pelvis inclination, abnormal spinal physiological curvature, uneven leg-lengths and balance disorders in lower back muscles, use the “pelvis balance adjusting instrument” for treatment, once daily or every two days, and 20 minutes for each time.
8. Massage method to relax the tendon of hip joint by kneading
For patients with limited hip joint function, long-term hip joint pain and stiffness, difficulty walking, and lower extremity muscle disuse atrophy, they may adopt this method for treatment, once every day or every two days, and 20 minutes for each time.