股骨头坏死非手术治疗学PDF电子书下载

Introduction 1

H.G guidelines for hip joint repair in the novel therapy for AVN ofthe femoral head 1

Rehabilitation guidelines in the novel therapy for AVN ofthe femoral head 3

Treatment strategies in the novel therapy for AVN ofthe femoral head 3

Characteristics of the novel therapy for AVN of the femoral head 4

Indications of the novel therapy for AVN of the femoral head 5

Chapter 1 Chinese Medical Theory behind the Novel Therapy for Avascular Necrosis(AVN)of the Femoral Head 6

Essential theory in Chinese medicine 6

Re-understanding the etiology and pathogenesis of AVN of the femoral head 9

Repair theory 9

Six major treatment methods 10

Syndrome identification and disease differentiation 11

Chapter 2 Technical Points of the Novel Therapy for Avascular Necrosis(AVN)of the Femoral Head 16

Characteristic symptoms of the AVN of the femoral head 17

Contents of the novel therapy for AVN of the femoral head 17

Mechanism of the novel therapy for AVN of the femoral head 18

Classification principle for AVN of the femoral head 18

Diagnosis of AVN of the femoral head 19

Treatment of AVN of the femoral head in adults 19

Dynamic modeling mechanism of the hip joint 20

Rehabilitation concept in AVN of the femoral head 20

New perspectives 21

Chapter 3 Subtypes of the AVN of the Femoral Head 22

Osteolytic AVN of the femoral head 22

Disintegrated AVN of the femoral head 23

Sclerotic AVN of the femoral head 23

Hypertrophic AVN of the femoral head 23

Rigid AVN of the femoral head 24

AVN of the femoral head with structural variation 24

Chapter 4 Guidelines for the Diagnosis and Treatment of AVN of the Femoral Head 26

Diagnostic criteria 26

Staging of the AVN of the femoral head 27

Treatment protocol 27

Evaluation criteria for therapeutic efficacy 28

Chapter 5 Inpatient Admission Criteria and Therapeutic Efficacy Evaluation Criteria for AVN of the Femoral Head 29

Inpatient admission criteria for AVN of the femoral head 29

Therapeutic efficacy evaluation criteria for AVN of the femoral head 29

Chapter 6 Therapeutic Efficacy Analysis on AVN of the Femoral Head in Different Stages 31

Conditions and requirements for therapeutic efficacy analysis in different stages 31

Therapeutic efficacy analysis after the 1st and 2nd courses(3 months for 1 course) 32

Therapeutic efficacy analysis after the 3rd and 4th courses 32

Therapeutic efficacy analysis after the 5th and 6th courses 33

Therapeutic efficacy analysis after the 7th and 8th courses 33

Therapeutic efficacy analysis after the 9th and 10th courses 34

Chapter 7 Quantitative Criteria for Repair and Reconstruction of AVN of the Femoral Head 35

Repair and functional reconstruction quantitative criteria for AVN of the femoral head 35

Quantitative observation on noninvasive repair and functional reconstruction of AVN of the femoral head 35

Chapter 8 Glossary and Definition of Terms for AVN of the Femoral Head 38

Glossary 38

Definition of some terms 43

Chapter 9 HC-5 Treatment Device for AVN of the Femoral Head 49

Section 1 Application area and technical performance and level 49

Application area 49

Technical performance 50

Technical level 51

Section 2 Technical criteria 52

Design specification 52

Principal parameters 52

Test methods 54

Safety standard 56

Section 3 Method of operation 57

Panel board:names and functions 57

Operating procedures 59

Cautionary notes 60

Operating conditions 60

Contraindications 60

Routine maintenance 60

Section 4 Application of the point device 61

Section 5 Waveform identification 61

Section 6 HYX oscillometer for AVN of the femoral head 63

Main functions and clinical studies 63

Technical specifications 64

Section 7 Underlying theory of the HC-5 treatment device for AVN of the femoral head 66

Experimental observation and clinical use of mechano-electric effect on bone remodeling and repair 66

Release of active Chinese herbal components to points stimulates bone repair 71

Factors that boost bone growth 72

Section 8 Therapeutic efficacy study on HC-5 treatment devicefor AVN of the femoral head 75

Animal studies 75

Clinical Trials 76

Chapter 10 Computer-aided Image Diagnosis for AVN of the Femoral Head 80

Section 1 Computer image processing for radiographic films of AVN of the femoral head 80

Conventional X-rays 81

Design philosophy of computer image processing for AVN of the femoral head 82

Computer image analysis for AVN of the femoral head 83

Computer image analysis procedures for AVN of the femoral head 87

Computer image analysis and diagnosis for AVN of the femoral head 90

Computer image diagnosis and application for AVN of the femoral head 90

Prospect of computer image processing technologies for AVN of the femoral head 91

Search results of computer image analysis system for AVN of the femoral head 92

Section 2 Analysis examples of computer images for AVN of the femoral head 93

Image analysis and diagnostic report for AVN of the femoral head 93

Computer image analysis examples for AVN of the femoral head 93

Section 3 Medical image processing for AVN of the femoral head 94

Current situation of medical image diagnosis for AVN of the femoral head 94

Medical image analysis of AVN of the femoral head 94

Prospect of medical image processing 95

Characteristics of medical images for AVN of the femoral head 96

Medical image processing methods for AVN of the femoral head 97

In-depth analysis on medical image processing for AVN of the femoral head 98

Experimental high pass filter analysis on X-ray films of the femoral head 99

Incomplete histogram equalization and(femoral head)X-ray image processing 99

Heat conduction equation and(femoral head)X-rays sharpening 105

Section 4 BPLI-based 3-D surface reconstruction algorithm from 2-D contour lines 111

Introduction 111

Essential principles and procedures of BPLI methods 112

The original algorithm and problem analysis 114

New algorithm 116

Experimental results and analysis 119

Conclusion 123

Section 5 Radiographic films of bones and joints 123

Radiographic films of normal bones 124

Radiographic films of bone structural lesion 126

Abnormal bone morphology 129

Soft tissue changes 129

Bone and joint structure 130

Radiographic films of normal bones and joints 130

Abnormal radiographic films of bone and joint disorders 131

Abnormal radiographic films of AVN of the femoral head 134

Chapter 11 The Novel Chinese Medical Therapy for AVN of the Femoral Head 136

Section 1 Internal Therapy for AVN of the Femoral Head 136

Experimental study and pharmacological analysis on Cheng Zai Wan 136

Application of herbal diet 155

Section 2 External Therapy for AVN of the Femoral Head 158

Chinese medicine and external therapy 158

Releasing electrical signals of Chinese medicine to specific points 160

Herbal bath therapy 167

Foot bath therapy 171

Section 3 Pattern Identification and Treatment for Pain due to AVN of the femoral head 173

Etiology and pathogenesis 174

Pattern identification and treatment 175

Chapter 12 Application of Meridian Theory to the Novel Therapy for AVN of the Femoral Head 178

Section 1 Meridian points used for AVN of thefemoral head in novel therapy 178

The stomach meridian of the foot-Yangming 179

The spleen meridian of the foot-Taiyin 181

The bladder meridian of the foot-Taiyang 184

The kidney meridian of the foot-Shaoyin 189

The gallbladder meridian of the foot-Shaoyang 191

The liver meridian of the foot-Jueyin 194

Extra points on the lower extremities 196

The eight extraordinary meridians 197

Section 2 Specific points designated for AVN of the femoral head in novel therapy 197

Section 3 Principles,methods and clinical significance of point selection 200

Principles of point selection 200

Methods of point selection 201

Clinical significance 201

Section 4 Massage points along the pathways of selected meridians for AVN of the femoral head 202

Massage therapy 202

Massage and syndrome differentiation 203

Relationship between massage and reinforcing/reducing 203

Relationship between massage and Biao/Ben 204

Massage along the pathways of meridians 204

AVN of the femoral head and massage 205

Illustrations of massage along the pathways of meridians 206

Chapter 13 Application of the Zi Wu Liu Zhu(Midnight-Noon-Ebb-Flow)Theory in the Treatment of AVN of the Femoral Head 207

Significance of the Zi Wu Liu Zhu theory 208

Content of the Zi Wu Liu Zhu theory 209

The role of the Zi Wu Liu Zhu theory in the treatment of AVN of the femoral head 213

Chapter 14 Dynamic Modeling of the Hip Joint 221

Section 1 Combine stillness with motion and alleviate pain by functional exercise 221

Section 2 Dynamic modeling of the hip joint and functional rehabilitation 222

Mechanism of dynamic hip joint modeling 223

Purpose of dynamic hip joint modeling 223

Significance of dynamic hip joint modeling 223

Eight dynamic modeling methods for the hip joint 224

Requirements for dynamic hip joint modeling in adults 226

Functional rehabilitation for children and cautionary notes 228

Annex 1 Dantian Zang-Fu exercise 229

Annex 2 Medical information sheet for adults'hip joint modeling 231

Annex 3 Medical information sheet for device-supported hip joint modeling 232

Annex 4 Medical information sheet for Children's hip joint rehabilitation 232

Section 3 Illustrated eight dynamic modeling methods of the hip joint 233

Chapter 15 Nursing Care in Novel Therapy for AVN of the Femoral Head 239

Section 1 Special care in the novel therapy for AVN of the femoral head 239

Nursing requirements 239

Psychological care 240

Special care for international patients 241

Care in using the treatment device for AVN of the femoral head 241

Care during dynamic hip joint modeling 241

Care in daily life 242

Section 2 Routine care in the novel therapy for AVN of the femoral head 242

General care 242

Overall care 243

Psychological care 245

Care outline 245

Levels of care for AVN of the femoral head 248

Section 3 Special care for Chinese medical therapy 249

Internal Chinese medicine 249

External Chinese medicine 250

Section 4 Special care for releasing active components of Chinese medicine with the treatment device 251

Procedures 251

Cautionary notes 252

Section 5 Fast point location for releasing active components of Chinese medicine 253

Fast location of common points 253

Fast location of specific points 255

Section 6 Special care for medicated bath 255

Decoction of Chinese herbs 255

Preparation of bath lotion 256

Treatment method 256

Cautionary notes 256

Section 7 Special care for dynamic hip joint modeling 257

Functional exercise for dynamic hip joint modeling 257

Cautionary notes and significance of dynamic hip joint modeling 259

Abnormal gaits due to AVN of the femoral head 260

Chapter 16 Correction of Pelvic Tilt due to AVN of the Femoral Head 261

Section 1 Clinical application of pelvic balance regulator 261

Structure and functions of pelvic balance regulator 261

Indications and contraindications 262

Annex:Medical advice form for pelvic balance regulation 262

Section 2 Biomechanical study on pelvic balance regulator 263

Structural analysis of the pelvic balance regulator 264

Correction principle of the pelvic balance regulator 264

Summary and discussion 269

Chapter 17 Etiological Factors and Relevant Medical Conditions of AVN of the Femoral Head 271

Section 1 Common etiological factors of AVN of the femoral head 271

Chronic alcohol intoxication 271

Cigarette smoking 272

Glucocorticoids 273

Etiological theories on AVN of the femoral head 274

Effect of stress-prostaglandin on osteogenesis 275

Section 2 Relevant medical conditions of the AVN of the femoral head 276

Osteoporosis 276

Congenital coxa vara 277

Systemic lupus erythematosus(SLE) 277

Metabolic bone diseases 281

Neuropathic osteoarthropathy 282

Differentiation between hyperparathyroidism and AVN of the femoral head 283

Epiphyseal disease of the femoral head 288

Differentiation between childhood AVN of the femoral head and slipped capital femoral epiphysis(SCFE) 292

Differentiation between tuberculosis of the hip in children and pyogenic arthritis of the hip 294

Differentiation between rheumatic arthritis and rheumatoid arthritis 294

Abrasion and erosion of artificial femoral head 295

Chapter 18 Stress-Electro-biomechanical Theorem in Novel Therapy for AVN of the Femoral Head—H.G.G Guidelines 299

Section 1 Overview of the H.G.Gguidelines 299

Maintenance of bone mass 300

Reconstruction of stress 300

Electromagnetic effect 300

Shape modeling of the femoral head 300

Pain-activity interaction 301

Section 2 Maintenance of bone mass 301

Animal experiments 301

Effect of exercise load on non-adult bones 302

Effect of exercise load on adult bones 302

Load and porotic bones 304

Discussion 305

Section 3 Reconstruction of stress 305

Section 4 Pulsed electromagnetic field therapy 306

Electromechanical properties of bone 306

Electromagnetic field therapy 309

Direct current electrotherapy—iontophoresis and electrophoresis 309

Section 5 Shape modeling of the femoral head 310

Increase bone mass—positive effect of bone functional adaptation 311

Decrease bone mass—reverse effect of bone functional adaptation 312

Section 6 Pain-activity interaction 312

Mechanism of pain 312

Mechanism of pain alleviation 313

Chapter 19 Bone Structure and Biornechanical Property 318

Section 1 Bone structure and blood supply 318

Bone structure 318

Blood supply of bones 321

Section 2 Mechanical property and influencing factors of the skeleton 322

Tension/compression mechanical property 322

Shear mechanical property 332

Torsion mechanical property 334

Bending mechanical property 335

Section 3 Bone energy storage and constitutive relation 337

Bone energy storage 337

Stress-strain relationship and constitutive equation of bone 338

Section 4 Functional adaptability of the skeleton 340

Wolff's law 340

Bone adaptation to stress 341

Bone adaptation and biomechanical principles in the treatment of AVN of the femoral head 341

Chapter 20 Biomechanics of the Hip Joint 343

Section 1 Structure and stress analysis of the hip joint 343

Architectural features of the hip joint 343

Range of motion(ROM)of the hip joint 345

Stress analysis of the hip joint 346

Calculation of the state of stress in the femoral neck 347

Alignment and functions of trabecular bone 349

Section 2 Anatomy and physiology of the hip joint 349

Anatomical landmarks on the surface of the body 349

Radiographic findings 351

Axial alignment of the lower extremity 351

Surface projections of major vessels and nerve trunks 352

Deep structure of the gluteal region 352

Acetabulum 352

Femoral head 353

Relationship between acetabulum and femoral head 354

Section 3 Etiology,Pathogenesis and Biomechanics of AVN of the Femoral Head 354

Etiology theories 355

Concept of stress concentration 355

Etiology and pathogenesis of AVN of the femoral head 356

Possible underlying biomechanical mechanism for bone remodeling and repair 356

Section 4 Laser holographic study on the stress of the femoral head(neck) 357

Study protocol 358

Devices,procedures and data acquisition 358

Numerical solution method and calculation results 358

Chapter 21 Clinical Observation on the Novel Therapy for AVN of the Femoral Head 360

Section 1 Therapeutic efficacy analysis of the novel therapy for AVN of the femoral head 360

General materials 360

Etiological factors 360

Clinical manifestations 361

Image analysis 361

Staging criteria 361

Treatment method 361

Therapeutic efficacy criteria 361

Treatment results 362

Section 2 Computer color image analysis on X-rays of typical cases with AVN of the femoral head 363

Chapter 22 Action Mechanism Study on Cheng Zai Wan for AVN of the Femoral Head 364

Section 1 Effect of Cheng Zai Wan and combined Cheng Zai Wan and magnetic field on osteoblasts'L-type calcium channel current 364

Materials and methods 364

Results 366

Discussion 369

Section 2 Effect of Cheng Zai Wan on cell adhesion molecule gene in mice with AVN of the femoral head 370

Results 372

Discussion 372

References 375