T/CI 032-2023 Adult femoral head necrosis accelerating rehabilitation protocol for perioperative period

Scope

Scope: This document specifies the terms and definitions, surgical procedures and requirements, precautions, contraindications, and quality control requirements for accelerated rehabilitation of femoral head necrosis in hip-preserving surgery. This document applies to technical operations in the accelerated rehabilitation of femoral head necrosis in hip-preserving surgery; Main technical content: 4.1 Diagnostic Criteria 4.1.1 Traditional Chinese Medicine Diagnostic Criteria The diagnostic criteria for traditional Chinese medicine are formulated based on the etiology and pathogenesis of femoral head necrosis, referring to the "Diagnostic Criteria for Femoral Head Necrosis in Traditional Chinese Medicine" (Chinese Society of Traditional Chinese Medicine, 2019), the "Guide to the Diagnosis and Treatment of Osteoarthritis" (Chinese Medical Association, 2007), the "Classification Standards for Osteoarthritis" (American College of Rheumatology, 1995), and the "Diagnostic and Treatment Standards for Osteoarthritis" (Chinese Society of Rheumatology, 2005), as well as the "Diagnostic and Therapeutic Effect Standards for Traditional Chinese Medicine Diseases" (ZY/T001.1-94). 4.1.2 Early Stage Femoral Head Necrosis with Stagnation of Qi and Blood This condition is common in early-stage (ARCO stage I and II) traumatic femoral head necrosis. (1) Main symptoms: ① Hip pain, like a needle prick, with a fixed location; ② Limited joint mobility. (2) Secondary symptoms: ① A dark and stagnant complexion; ② Chest and flank fullness and pain; ③ Purple/blue/dark tongue or bruises; ④ Taut or dry pulse. If the patient exhibits 2 main symptoms and 1 secondary symptom, or 1 main symptom and 2 secondary symptoms, they can be diagnosed with this syndrome. 4.1.3 Middle Stage Femoral Head Necrosis with Obstruction of Meridians and Collaterals This condition is common in middle-stage (ARCO stage II and III) femoral head necrosis. (1) Main symptoms: ① Hip pain ex

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