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Introduction1

H.G guidelines for hip joint repair in the novel therapy for AVN ofthe femoral head1

Rehabilitation guidelines in the novel therapy for AVN ofthe femoral head3

Treatment strategies in the novel therapy for AVN ofthe femoral head3

Charteristics of the novel therapy for AVN of the femoral head4

Indications of the novel therapy for AVN of the femoral head5

Chapter 1 Chinese Medical Theory behind the Novel Therapy for Avascular Necrosis(AVN)of the Femoral Head6

Essential theory in Chinese medicine6

Re-understanding the etiology and pathogenesis of AVN of the femoral head9

Repair theory9

Six major treatment methods10

Syndrome identification and disease differentiation11

Chapter 2 Technical Points of the Novel Therapy for Avascular Necrosis(AVN)of the Femoral Head16

Charteristic symptoms of the AVN of the femoral head17

Contents of the novel therapy for AVN of the femoral head17

Mechanism of the novel therapy for AVN of the femoral head18

Classification principle for AVN of the femoral head18

Diagnosis of AVN of the femoral head19

Treatment of AVN of the femoral head in adults19

Dynamic modeling mechanism of the hip joint20

Rehabilitation concept in AVN of the femoral head20

New perspectives21

Chapter 3 Subtypes of the AVN of the Femoral Head22

Osteolytic AVN of the femoral head22

Disintegrated AVN of the femoral head23

Sclerotic AVN of the femoral head23

Hypertrophic AVN of the femoral head23

Rigid AVN of the femoral head24

AVN of the femoral head with structural variation24

Chapter 4 Guidelines for the Diagnosis and Treatment of AVN of the Femoral Head26

Diagnostic criteria26

Staging of the AVN of the femoral head27

Treatment protocol27

Evaluation criteria for therapeutic efficy28

Chapter 5 Inpatient Admission Criteria and Therapeutic Efficy Evaluation Criteria for AVN of the Femoral Head29

Inpatient admission criteria for AVN of the femoral head29

Therapeutic efficy evaluation criteria for AVN of the femoral head29

Chapter 6 Therapeutic Efficy Analysis on AVN of the Femoral Head in Different Stages31

Conditions and requirements for therapeutic efficy analysis in different stages31

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

Therapeutic efficy analysis after the 3rd and 4th courses32

Therapeutic efficy analysis after the 5th and 6th courses33

Therapeutic efficy analysis after the 7th and 8th courses33

Therapeutic efficy analysis after the 9th and 10th courses34

Chapter 7 Quantitative Criteria for Repair and Reconstruction of AVN of the Femoral Head35

Repair and functional reconstruction quantitative criteria for AVN of the femoral head35

Quantitative observation on noninvasive repair and functional reconstruction of AVN of the femoral head35

Chapter 8 Glossary and Definition of Terms for AVN of the Femoral Head38

Glossary38

Definition of some terms43

Chapter 9 HC-5 Treatment Device for AVN of the Femoral Head49

Section 1 Application area and technical performance and level49

Application area49

Technical performance50

Technical level51

Section 2 Technical criteria52

Design specification52

Principal parameters52

Test methods54

Safety standard56

Section 3 Method of operation57

Panel board:names and functions57

Operating procres59

Cautionary notes60

Operating conditions60

Contraindications60

Routine maintenance60

Section 4 Application of the point device61

Section 5 Waveform identification61

Section 6 HYX oscillometer for AVN of the femoral head63

Main functions and clinical studies63

Technical specifications64

Section 7 Underlying theory of the HC-5 treatment device for AVN of the femoral head66

Experimental observation and clinical use of mechano-electric effect on bone remodeling and repair66

Release of tive Chinese herbal ponents to points stimulates bone repair71

Ftors that boost bone growth72

Section 8 Therapeutic efficy study on HC-5 treatment devicefor AVN of the femoral head75

Animal studies75

Clinical Trials76

Chapter 10 Computer-aided Image Diagnosis for AVN of the Femoral Head80

Section 1 Computer image processing for radiographic films of AVN of the femoral head80

Conventional X-rays81

Design philosophy of puter image processing for AVN of the femoral head82

Computer image analysis for AVN of the femoral head83

Computer image analysis procres for AVN of the femoral head87

Computer image analysis and diagnosis for AVN of the femoral head90

Computer image diagnosis and application for AVN of the femoral head90

Prospect of puter image processing technologies for AVN of the femoral head91

Search results of puter image analysis system for AVN of the femoral head92

Section 2 Analysis examples of puter images for AVN of the femoral head93

Image analysis and diagnostic report for AVN of the femoral head93

Computer image analysis examples for AVN of the femoral head93

Section 3 Medical image processing for AVN of the femoral head94

Current situation of medical image diagnosis for AVN of the femoral head94

Medical image analysis of AVN of the femoral head94

Prospect of medical image processing95

Charteristics of medical images for AVN of the femoral head96

Medical image processing methods for AVN of the femoral head97

In-depth analysis on medical image processing for AVN of the femoral head98

Experimental high pass filter analysis on X-ray films of the femoral head99

Inplete histogram equalization and(femoral head)X-ray image processing99

Heat conduction equation and(femoral head)X-rays sharpening105

Section 4 BPLI-based 3-D surfe reconstruction algorithm from 2-D contour lines111

Introduction111

Essential principles and procres of BPLI methods112

The original algorithm and problem analysis114

New algorithm116

Experimental results and analysis119

Conclusion123

Section 5 Radiographic films of bones and joints123

Radiographic films of normal bones124

Radiographic films of bone structural lesion126

Abnormal bone morphology129

Soft tissue changes129

Bone and joint structure130

Radiographic films of normal bones and joints130

Abnormal radiographic films of bone and joint disorders131

Abnormal radiographic films of AVN of the femoral head134

Chapter 11 The Novel Chinese Medical Therapy for AVN of the Femoral Head136

Section 1 Internal Therapy for AVN of the Femoral Head136

Experimental study and pharmological analysis on Cheng Zai Wan136

Application of herbal diet155

Section 2 External Therapy for AVN of the Femoral Head158

Chinese medicine and external therapy158

Releasing electrical signals of Chinese medicine to specific points160

Herbal bath therapy167

Foot bath therapy171

Section 3 Pattern Identification and Treatment for Pain due to AVN of the femoral head173

Etiology and pathogenesis174

Pattern identification and treatment175

Chapter 12 Application of Meridian Theory to the Novel Therapy for AVN of the Femoral Head178

Section 1 Meridian points used for AVN of thefemoral head in novel therapy178

The stomh meridian of the foot-Yangming179

The spleen meridian of the foot-Taiyin181

The bladder meridian of the foot-Taiyang184

The kidney meridian of the foot-Shaoyin189

The gallbladder meridian of the foot-Shaoyang191

The liver meridian of the foot-Jueyin194

Extra points on the lower extremities196

The eight extraordinary meridians197

Section 2 Specific points designated for AVN of the femoral head in novel therapy197

Section 3 Principles,methods and clinical significance of point selection200

Principles of point selection200

Methods of point selection201

Clinical significance201

Section 4 Massage points along the pathways of selected meridians for AVN of the femoral head202

Massage therapy202

Massage and syndrome differentiation203

Relationship between massage and reinforcing/rcing203

Relationship between massage and Biao/Ben204

Massage along the pathways of meridians204

AVN of the femoral head and massage205

Illustrations of massage along the pathways of meridians206

Chapter 13 Application of the Zi Wu Liu Zhu(Midnight-Noon-Ebb-Flow)Theory in the Treatment of AVN of the Femoral Head207

Significance of the Zi Wu Liu Zhu theory208

Content of the Zi Wu Liu Zhu theory209

The role of the Zi Wu Liu Zhu theory in the treatment of AVN of the femoral head213

Chapter 14 Dynamic Modeling of the Hip Joint221

Section 1 Combine stillness with motion and alleviate pain by functional exercise221

Section 2 Dynamic modeling of the hip joint and functional rehabilitation222

Mechanism of dynamic hip joint modeling223

Purpose of dynamic hip joint modeling223

Significance of dynamic hip joint modeling223

Eight dynamic modeling methods for the hip joint224

Requirements for dynamic hip joint modeling in adults226

Functional rehabilitation for children and cautionary notes228

Annex 1 Dantian Zang-Fu exercise229

Annex 2 Medical information sheet for adultship joint modeling231

Annex 3 Medical information sheet for device-supported hip joint modeling232

Annex 4 Medical information sheet for Childrens hip joint rehabilitation232

Section 3 Illustrated eight dynamic modeling methods of the hip joint233

Chapter 15 Nursing Care in Novel Therapy for AVN of the Femoral Head239

Section 1 Special care in the novel therapy for AVN of the femoral head239

Nursing requirements239

Psychological care240

Special care for international patients241

Care in using the treatment device for AVN of the femoral head241

Care during dynamic hip joint modeling241

Care in daily life242

Section 2 Routine care in the novel therapy for AVN of the femoral head242

General care242

Overall care243

Psychological care245

Care outline245

Levels of care for AVN of the femoral head248

Section 3 Special care for Chinese medical therapy249

Internal Chinese medicine249

External Chinese medicine250

Section 4 Special care for releasing tive ponents of Chinese medicine with the treatment device251

Procres251

Cautionary notes252

Section 5 Fast point location for releasing tive ponents of Chinese medicine253

Fast location of mon points253

Fast location of specific points255

Section 6 Special care for medicated bath255

Decoction of Chinese herbs255

Preparation of bath lotion256

Treatment method256

Cautionary notes256

Section 7 Special care for dynamic hip joint modeling257

Functional exercise for dynamic hip joint modeling257

Cautionary notes and significance of dynamic hip joint modeling259

Abnormal gaits due to AVN of the femoral head260

Chapter 16 Correction of Pelvic Tilt due to AVN of the Femoral Head261

Section 1 Clinical application of pelvic balance regulator261

Structure and functions of pelvic balance regulator261

Indications and contraindications262

Annex:Medical advice form for pelvic balance regulation262

Section 2 Biomechanical study on pelvic balance regulator263

Structural analysis of the pelvic balance regulator264

Correction principle of the pelvic balance regulator264

Summary and discussion269

Chapter 17 Etiological Ftors and Relevant Medical Conditions of AVN of the Femoral Head271

Section 1 Common etiological ftors of AVN of the femoral head271

Chronic alcohol intoxication271

Cigarette smoking272

Glucocorticoids273

Etiological theories on AVN of the femoral head274

Effect of stress-prostaglandin on osteogenesis275

Section 2 Relevant medical conditions of the AVN of the femoral head276

Osteoporosis276

Congenital coxa vara277

Systemic lupus erythematosus(SLE)277

Metabolic bone diseases281

Neuropathic osteoarthropathy282

Differentiation between hyperparathyroidism and AVN of the femoral head283

Epiphyseal disease of the femoral head288

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 hip294

Differentiation between rheumatic arthritis and rheumatoid arthritis294

Abrasion and erosion of artificial femoral head295

Chapter 18 Stress-Electro-biomechanical Theorem in Novel Therapy for AVN of the Femoral Head—H.G.G Guidelines299

Section 1 Overview of the H.G.Gguidelines299

Maintenance of bone mass300

Reconstruction of stress300

Electromagic effect300

Shape modeling of the femoral head300

Pain-tivity intertion301

Section 2 Maintenance of bone mass301

Animal experiments301

Effect of exercise load on non-adult bones302

Effect of exercise load on adult bones302

Load and porotic bones304

Discussion305

Section 3 Reconstruction of stress305

Section 4 Pulsed electromagic field therapy306

Electromechanical properties of bone306

Electromagic field therapy309

Direct current electrotherapy—ionhoresis and electrophoresis309

Section 5 Shape modeling of the femoral head310

Increase bone mass—positive effect of bone functional adaptation311

Decrease bone mass—reverse effect of bone functional adaptation312

Section 6 Pain-tivity intertion312

Mechanism of pain312

Mechanism of pain alleviation313

Chapter 19 Bone Structure and Biornechanical Property318

Section 1 Bone structure and blood supply318

Bone structure318

Blood supply of bones321

Section 2 Mechanical property and influencing ftors of the skeleton322

Tension/pression mechanical property322

Shear mechanical property332

Torsion mechanical property334

Bending mechanical property335

Section 3 Bone energy storage and constitutive relation337

Bone energy storage337

Stress-strain relationship and constitutive equation of bone338

Section 4 Functional adaptability of the skeleton340

Wolffs law340

Bone adaptation to stress341

Bone adaptation and biomechanical principles in the treatment of AVN of the femoral head341

Chapter 20 Biomechanics of the Hip Joint343

Section 1 Structure and stress analysis of the hip joint343

Architectural features of the hip joint343

Range of motion(ROM)of the hip joint345

Stress analysis of the hip joint346

Calculation of the state of stress in the femoral neck347

Alignment and functions of trabecular bone349

Section 2 Anatomy and physiology of the hip joint349

Anatomical landmarks on the surfe of the body349

Radiographic findings351

Axial alignment of the lower extremity351

Surfe projections of major vessels and nerve trunks352

Deep structure of the gluteal region352

Acetabulum352

Femoral head353

Relationship between etabulum and femoral head354

Section 3 Etiology,Pathogenesis and Biomechanics of AVN of the Femoral Head354

Etiology theories355

Concept of stress concentration355

Etiology and pathogenesis of AVN of the femoral head356

Possible underlying biomechanical mechanism for bone remodeling and repair356

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

Study protocol358

Devices,procres and data quisition358

Numerical solution method and calculation results358

Chapter 21 Clinical Observation on the Novel Therapy for AVN of the Femoral Head360

Section 1 Therapeutic efficy analysis of the novel therapy for AVN of the femoral head360

General materials360

Etiological ftors360

Clinical manifestations361

Image analysis361

Staging criteria361

Treatment method361

Therapeutic efficy criteria361

Treatment results362

Section 2 Computer color image analysis on X-rays of typical cases with AVN of the femoral head363

Chapter 22 Action Mechanism Study on Cheng Zai Wan for AVN of the Femoral Head364

Section 1 Effect of Cheng Zai Wan and bined Cheng Zai Wan and magic field on osteoblastsL-type calcium channel current364

Materials and methods364

Results366

Discussion369

Section 2 Effect of Cheng Zai Wan on cell adhesion molecule gene in mice with AVN of the femoral head370

Results372

Discussion372

References375