Lao Zhang has suffered repeated pain in both hip joints in the past two years, and it is becoming more and more difficult to walk. When he just started to have an illness, he went to a nearby hospital. The doctor said it was "lumbar syndrome". He gave him some medicine and prescr

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Lao Zhang's bilateral Hip has been repeatedly painful in the past two years, and it is becoming more and more difficult to walk. When he just started to have an illness, he went to a nearby hospital and the doctor said yes "Lubercent Symptom", he was given some medicine and prescribed some ointment, but it didn't work if he used it. As time goes by, Lao Zhang's bilateral hip joint activity becomes more and more difficult. The family doctor referred Lao Zhang to the -Myongyang Hospital's -Myongyang Hospital for treatment. Lao Zhang always wants to have a good look.

As soon as Lao Zhang entered the clinic, Dr. Feng, who was receiving the hospital, keenly discovered that Lao Zhang was blushing. After listening to the symptoms and illness described by Lao Zhang, he found that Lao Zhang's hip joint movement was obviously limited, and he felt more painful when he was active and passive. Heavy.

Hip X-spray shows that Lao Zhang bilateral femoral head necrosis

Doctor Feng asked Lao Zhang, "How many years have you drunk?"

Lao Zhang said, "Doctor, how do you know that I have been drinking alcohol all the time? People say that I drink old wine." I drink blood-activated, every day. "

" When I see you, I drink a lot of alcohol for a long time. How much do you drink every day? How many years have you been drinking? "

" is not much, there is only a bottle of rice wine every day, lunch and dinner Half each, after drinking for more than ten years, there is always "

" you are drinking too much! You are alcoholic femoral head necrosis! It's just that you drink alcohol! "

"? Drinking femoral head will also die Ah, what to do! Will it spread? ! "

" Long-term alcoholism affects the blood supply of the femoral head, which will cause femoral head necrosis. This is not a 'bad problem' and will not spread. You can't drink anymore, but drink it The brain is going to break down, which is called alcohol-related dementia! "

Osteonecrosis of the Femoral Head (ONFH) is a common difficult disease in orthopedics. It is estimated that there are more than 20 million femoral head necrosis patients worldwide, 8.12 million cases in my country alone, and it also grows at a rate of 100,000 to 200,000 each year. The use of hormones, alcoholism and trauma are the main causes. Trauma and hormones are usually involved in medical intervention. However, alcoholism rarely seeks medical help in the current social context of our country. Often, when symptoms occur, the femoral head has been missed A good time for necrosis hip protection treatment. Treatment of femoral head necrosis is difficult after the onset of the disease, and individuals vary greatly. Total Hip Arthroplasty (THA) is often required in the late stage of the disease.

Distilled liquor The harm of liquor may be well known because it is "strong", but some patients think they are just drinking "yellow wine". They say that "yellow wine" is for health, but they do not know that although rice wine is not distilled liquor, alcohol is usually The degree is between 14% and 20%, and the total amount is also extremely high, and long-term alcoholism is even worse. The author even encountered a female patient who suffered from femoral head necrosis caused by long-term drinking of beer during her life abroad. So we believe that femoral head necrosis has nothing to do with what alcohol you drink, but mainly how much alcohol you consume and how long you drink it.

Lao Zhang underwent a right hip replacement surgery at Yueyang Hospital one month later.

is harmful to drinking, don’t drink it!

References:

.Kubo T, Ueshima K, Saito M, Ishida M, Arai Y, Fujiwara H. Clinical and basic research on steroid-induced osteonecrosis of the femoral head in Japan. Journal of Orthopauedic Science. 2016;21(4 ):407-413.

.Zhao DW, Yu M, Hu K, et al. Prevalence of Nontraumatic Osteonecrosis of the Femoral Head and its Associated Risk Factors in the Chinese Population: Results from a Nationally Representative Survey. Chinese Medical Journal. 2015 ;128(021):2843-2850.

.Yuan L, Li W, Wang X, Yang G, Yu H, Sun S. The relationship between genetic polymorphisms in apolipoprotein E (ApoE) gene and osteonecrosis of the femoral head induced by steroid in Chinese Han population. Genes Genomics. 2018.

.Gao YS, Chen SB, Jin DX, Sheng JG, Cheng XG, Zhang CQ. Modified scientific techniques of free vascularized fibular grafting for treatment of the osteonecrosis of femoral head: Results from a series of 407 cases. Microsurgery. 2013;33(8):n/a-n/a.

.Ao W, Ming R, Jincheng W. The pathogenesis of steroid-induced osteonecrosis of the femoral head: A systematic review of the literature . Gene. 2018;671:103-109.

Author: Yueyang Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine

Bone Injury Center Feng Shengyi Li Bo

Community Health Service Center, Quyang Road Street, Hongkou District, Shanghai

Appointment Injury Department Lu Wenting Some pictures of

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