The use of extracorporeal shock wave therapy (ESWT) in treating osteonecrosis of the femoral head (AVNFH): a retrospective study.

التفاصيل البيبلوغرافية
العنوان:	The use of extracorporeal shock wave therapy (ESWT) in treating osteonecrosis of the femoral head (AVNFH): a retrospective study.
المؤلفون:	Alkhawashki HM; Department of Orthopaedic Surgery, Advanced Medical Center, Riyadh, Saudi Arabia. bonedoc57@gmail.com., Al-Boukai AA; Department of Radiology and Medical Imaging, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Al-Harbi MS; Department of Orthopaedic Surgery, College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., Al-Rumaih MH; Department of Orthopaedic Surgery, Prince Sultan Military Medical City, Armed Forces Medical Services, Ministry of Defense, P.O. Box: 7897, Riyadh, 11159, Saudi Arabia. m.h.alrumaih@gmail.com., Al-Khawashki MH; Neuroinformatic, School of Computing, Newcastle University, Newcastle upon Tyne, UK.
المصدر:	International orthopaedics [Int Orthop] 2023 Dec; Vol. 47 (12), pp. 2953-2960. Date of Electronic Publication: 2023 Jul 27.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7705431 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-5195 (Electronic) Linking ISSN: 03412695 NLM ISO Abbreviation: Int Orthop Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Berlin : Springer Verlag
مواضيع طبية MeSH:	Extracorporeal Shockwave Therapy* , Femur Head Necrosis*/surgery, Male ; Female ; Humans ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Retrospective Studies ; Femur Head/pathology ; Pain ; Treatment Outcome
مستخلص:	Purpose: As most of the cases of avascular necrosis (AVN) in Saudi Arabia is seen in young population and as literature showed good effect of extracorporeal shock wave therapy (ESWT) in reducing pain and oedema in avascular necrosis and delaying the need of surgical intervention. Our purpose of this study is to assess the effectiveness of ESWT in reducing pain, improving range of motion (ROM) and delaying the surgical intervention in patient with AVN of femoral head and compare our results to published literature. Material and Methods: We have treated 24 patients, 13 males and 11 females with a mean age of 29 years (range 14-48) with 34 hips affected. There were 14 unilateral and ten bilateral lesions. In our series 11 out of 24 patients (45.8%) were due to sickle cell disease. Other causes included idiopathic in five patients (20.8%), corticosteroids use and systemic lupus erythematous in three patients each (12.5% each) and post-traumatic AVN in two patients (8.3%). Extracorporeal shock wave therapy was implanted in FICAT stage I, II and III. All patients had two sessions of extracorporeal shock wave therapy, four to six weeks apart, each with 4000 impulses divided into four points. Radiological and MRI assessment were performed at regular time intervals with a minimum follow-up of two years. Clinical assessment was based on Visual Analog Scale and Harris Hip Score (HHS). The end point outcome measurement was the need for any operative intervention. Results: Operative intervention was necessary in eight out of 34 hips (23.5%), within an average of 2.5 years (range 1 to 5 years). A hip salvage was achieved in 76.5%. Function was improved with the Harris Hip Score from a mean of 54.6 to 80.4 (P value using paired t test ≤ 0.05). Pain assessed with Visual Analog Scale improved from 5.73 to 2.75 (P value using paired t test ≤ 0.05). Conclusion: We do recommend the use of ESWT in treating AVN of bone whether of femoral head or other sites prior to the collapse of the articular surface. Further studies are needed to compare using two or more sessions as well as using four or six points for ESWT. (© 2023. The Author(s) under exclusive licence to SICOT aisbl.)
التعليقات:	Comment in: Int Orthop. 2023 Aug 11;:. (PMID: 37566228)
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فهرسة مساهمة:	Keywords: Core decompression; Extracorporeal shock wave therapy (ESWT); Osteonecrosis of the femoral head (ONFH)
تواريخ الأحداث:	Date Created: 20230727 Date Completed: 20231127 Latest Revision: 20231127
رمز التحديث:	20231215
DOI:	10.1007/s00264-023-05904-9
PMID:	37498339
قاعدة البيانات:	MEDLINE

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تدمد:	1432-5195
DOI:	10.1007/s00264-023-05904-9