Center for Shockwave Medicine and Tissue Engineering, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; Department of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Center for Shockwave Medicine and Tissue Engineering, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; Medical Research, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Int J Surg. 2015 Dec;24(Pt B):184-7. doi: 10.1016/j.ijsu.2015.06.080. Epub 2015 Jul 15.
The etiology of osteonecrosis of the femoral head (ONFH) is multifactorial. Treatment of ONFH is disease stage dependent. For early stages, femoral head preservation procedures are preferred including core decompression, muscle pedicle grafting and de-rotational osteotomy. Core decompression with bone grafting is considered the gold standard. However, the results are inconsistence and unpredictable. An effective non-invasive method of treatment is imperative. Recently, extracorporeal shockwave therapy (ESWT) has shown beneficial effects in ONFH. ESWT improves pain and function of the hip and regression of the ONFH lesion. ESWT is more effective than core decompression with or without bone grafting, cocktail therapy that combined HBO, ESWT and oral alendronate is shown effective for patients with early osteonecrosis. The purpose of the article is to review, update and summarize the clinical treatment of ONFH using shockwave therapy.
股骨头坏死（ONFH）的病因是多因素的。ONFH 的治疗取决于疾病的阶段。对于早期，首选股骨头保存手术，包括核心减压、肌蒂骨移植和旋转截骨。骨移植核心减压被认为是金标准。然而，结果不一致且不可预测。迫切需要一种有效的非侵入性治疗方法。最近，体外冲击波治疗（ESWT）已显示出对 ONFH 的有益效果。ESWT 可改善髋关节疼痛和功能，并使 ONFH 病变消退。ESWT 比核心减压加或不加骨移植更有效，鸡尾酒疗法（联合 HBO、ESWT 和口服阿伦膦酸盐）对早期骨坏死患者有效。本文的目的是回顾、更新和总结冲击波治疗 ONFH 的临床治疗。
Zotero 插件