• Journal of Acupuncture Research
• /
• 제21권6호
• /
• pp.299-309
• /
• 2004

Objective : The etiology and treatment of the avascular necrosis of the femoral head continiue to be controversial and the pathogenesis remains obscure. And its clinical study and report about oriental treatment are absolutely insufficient. Therefore, we report a case of avascular necrosis of the femoral head. Methods : The patient was treated with Bee-Venom therapy, Electro Acupuncture and Sopungwhalhyul-tang(疎風活血湯). Results : After 26days of Oriental treatments, there was remarkable improvement in condition of the patient. Conclusions : In this case, oriental treatments for avascular necrosis of the femoral head was effective. Futher studies are required to prove effectiveness of oriental treatments for treating avascular necrosis of the femoral head.

• 척추신경추나의학회지
• /
• 제6권2호
• /
• pp.79-85
• /
• 2011

Objectives : The Purpose of this study is to investigate the clinical application of conservative treatment for femoral neck stress fracture developed in avascular necrosis of the femoral head. Methods : Patient is hospitalized at Dept. of Oriental Rehabilitation Medicine, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as femoral neck stress fracture developed in avascular necrosis of the femoral head and treated by herbal medicine, acupuncture and moxibustion. This study was measured by Visual Analogue Scale(VAS) score, range of motion and walking time. Results : After conservative treatment, the patient's pain was controlled and VAS score was decreased. Range of motion and walking time were improved. Conclusions : As seen in this one case, Oriental conservative treatment has a positive effect to control pain with femoral neck stress fracture developed in avascular necrosis of the femoral head.

• Archives of Reconstructive Microsurgery
• /
• 제17권1호
• /
• pp.42-47
• /
• 2008

Introduction: To evaluate the efficacy of superior gluteal artery-pedicled iliac crest for the treatment of avascular necrosis of femoral head. Material & Method: From January 2001 to October 2001, we used the superior deep branches of superior gluteal artery for the pedicled posterior iliac crest bone graft to revascularize the avascular femoral head in 4 patients. They were 1 man and 3 women, and the mean age of the patients was 34 years (range, 27 to 60). The average follow-up after surgery was over 57 months (range, 15 to 82). We analyzed the clinical results by the Harris hip score, and evaluated the vascularity of the femoral head by radiographic methods. Results: All cases showed no evidence of collapse on femoral heads and good revascularizations on the radiographic images. The average Harris hip score was 88.5 points. There was no complication. Conclusion: The revascularization procedure using the superior gluteal artery-pedicled posterior iliac crest was thought to be one of the effective and promising techniques for the treatment of the avascular necrosis of femoral head.

• 한국정보과학회논문지:소프트웨어및응용
• /
• 제27권8호
• /
• pp.846-854
• /
• 2000

본 논문에서는 대퇴골두 무혈성 괴사의 자동 진단을 위한 효과적인 대퇴골두 영역의 추출 방법을 제안한다. 대퇴골두의 해부학적 특성과 Hough 변환을 이용하여 대퇴골두 영역을 설정하였고, 변형된 영역 확장법을 적용하여 대퇴골두 영역을 분할하였다. 그리고, 분할된 영역으로부터 대퇴골두 무혈성 괴사의 진단에 필요한 인자를 자동으로 측정하였다. 본 논문에서 제안한 영역 추출 방법은 정상적인 대퇴골두와 무혈성 괴사의 초기 단계의 대퇴골두 뿐만 아니라 괴사가 심한 대퇴골두에 대해서도 좋은 결과를 얻을수 있었고, 본 논문에서 제안한 방법으로 측정된 인자는 대퇴골두 무혈성 괴사의 정량적인 분석 및 진단을 가능하게 한다.

• Journal of Yeungnam Medical Science
• /
• 제16권1호
• /
• pp.1-9
• /
• 1999

대퇴골두 무혈성괴사에 대해서는 수 많은 연구가 광범위하게 진행되어왔으나 아직 병인과 최선의 치료방법은 모르고 있는 실정이다. 앞으로 더 많은 연구와 분석이 이루어져서 새로운 정보가 추가된다면 이 질환으로 인한 유병율과 이환율을 줄일 수 있을 것이다.

• The Korean Journal of Pain
• /
• 제5권1호
• /
• pp.117-120
• /
• 1992

본 통증치료실에서 요통 및 하지 방사통을 호소하는 30세된 남자환자를 보통 시행하는 횟수 보다 많은 경막외강내 스테로이드 주입중에 발생한 양측 무혈성 골두괴사를 경험하였다. 물론 이 환자는 약국이나 한약방 등에서 약명미상의 약물을 경구투여받고 있었으므로 그것(혹시 스테로이드)으로 인한 원인인지 혹은 단순히 경막외강으로 주입된 스테로이드로 인한것인지는 분명하지 않다. 그러나 최근 피부과 질환으로 인한 스테로이드의 장기복용 및 도포로 무혈성 대퇴골두괴사가 종종 보고되고 있으므로 그 원인일수도 있다는 가정하에 통증치료실에 근무하는 종사자들의 주의를 요하는 뜻에서 이 증례를 보고하는 바이다.

• Journal of Trauma and Injury
• /
• 제31권3호
• /
• pp.181-188
• /
• 2018

Urgent reduction is required in cases of traumatic hip dislocation to reduce the risk of avascular necrosis of the femoral head. However, in cases of femoral head fractures, the dislocated hip cannot be reduced easily, and in some cases, it can even be irreducible. This irreducibility may provoke further incidental iatrogenic fractures of the femoral neck. In an irreducible hip dislocation, without further attempting for closed reduction, an immediate open reduction is recommended. This can prevent iatrogenic femoral neck fracture or avascular necrosis of the femoral head, and save the natural hip joint.

• 한방재활의학과학회지
• /
• 제32권3호
• /
• pp.37-53
• /
• 2022

Objectives This study was conducted to investigate a randomized controlled trial study on the clinical treatment of herbal medicines for avascular necrosis of the femoral head. Methods By March 2022, the China National Knowledge Infrastructure (CNKI) was reviewed about randomized controlled trial studies on the herbal treatment of avascular necrosis of the femoral head through. The publication year, evaluation criteria, treatment period, treatment method and effectiveness were analyzed for articles published from 2017 to 2022. Results 16 articles were selected and 14 kinds of herbal medicines were used. In most studies, Western medical treatments such as injection therapy, oral drug administration, traction therapy and mid-frequency electric therapy were treated alone in the control group, and a combination of Western medical treatment and herbal treatment was administered to the experimental group. Conclusions In China, there have been many studies on herbal treatment for avascular necrosis of the femoral head. In Korea, more clinical studies on the herbal treatment of avascular necrosis of the femoral head are needed. This study will be helpful for future research in Korean medicine on avascular necrosis of the femoral head.

• Journal of Acupuncture Research
• /
• 제39권4호
• /
• pp.239-248
• /
• 2022

To determine the effect of Korean medicine treatment of avascular necrosis of the femoral head (ANFH) this study reviewed both single ingredients and bioactive compounds in the treatment of ANFH in a rat model. Literature was retrieved from PubMed and Google Scholar using the keywords "femur head necrosis," "natural extract," and "rat." The data from studies analyzed included: rats' characteristics, development methods of ANFH, natural extracts administration, observation methods, and outcome indicators. Two independent researchers screened all articles retrieved and 26 studies were chosen. The most used rat species was the Sprague Dawley rat (76.9%). To induce ANFH, steroid injections (46.2%), and oral gavage (53.8%) were typically used. Studies focused mainly on factors affecting bone formation (65.3%), and apoptosis (53.8%). Research on ANFH focused on using traditional natural substances mentioned in classical literature to confirm its effectiveness against anti-inflammation, osteogenesis, and cell death. ANFH has a diverse etiology, therefore research models such as genetic analysis of human-derived samples from ANFH patients may shed more light on the condition. Moreover, research into herbal medicines and pharmacoacupuncture treatment of ANFH should precede.

• 한방재활의학과학회지
• /
• 제33권1호
• /
• pp.47-59
• /
• 2023

Objectives This paper is an analysis of domestic and foreign trends for the Korean medical treatment of avascular necrosis of the femoral head. Methods Domestic and foreign databases were searched and analyzed for Korean medical treatment interventions, research types, and treatment effects for avascular necrosis of the femoral head. Results There were 10 case reports in Korea, 2 case reports and 3 randomized controlled studies abroad. A total of 12 treatment interventions were used, and the types include acupuncture, herbal medicine, phamacopunture, electroacupuncture, cupping, physical therapy, chuna, acupotomy, moxibustion, warm acupuncture, laser acupuncture, and motion style treatment. As for the evaluation index, visual analogue scale, range of motion and harris hip score were the most common with 7 cases each. Conclusions Through this study, it was possible to understand the trends of domestic and foreign research on the treatment of avascular necrosis of the femoral head with Korean medicine. However, due to the small number of literature and no randomized control studies in Korea, treatment evidence is insufficient. It is considered that further research is needed in the future.