体外冲击波疗法治疗伯尔尼髋臼周围截骨术后坐骨不愈合：一例报告
Extracorporeal shock wave therapy in treating ischial non-union following Bernese periacetabular osteotomy: A case report.
作者信息
Yan Jun, Zhu Jun-Yu, Zhao Fei-Fei, Xiao Jian, Li Hao, Wang Ming-Xin, Guo Jing, Cui Liang, Xing Geng-Yan
机构信息
Department of Orthopedics, The Third Medical Center of Chinese People's Liberation Army General Hospital, Beijing 100039, China.
Department of Orthopaedic, Anhui Medical University, Hefei 230032, Anhui Province, China.
出版信息
World J Orthop. 2024 Oct 18;15(10):991-996. doi: 10.5312/wjo.v15.i10.991.
BACKGROUND
Extracorporeal shock wave therapy (ESWT) is increasingly being recognized as an advantageous alternative for treating non-union due to its efficacy and minimal associated complications. Non-union following Bernese periacetabular osteotomy (PAO) is particularly challenging, with a reported 55% delayed union and 8% non-union. Herein, we highlight a unique case of ischial non-union post-PAO treated successfully with a structured ESWT regimen.
CASE SUMMARY
A 50-year-old patient, diagnosed with left ischial non-union following the PAO, underwent six cycles of ESWT treatment across ten months. Each cycle, spaced four weeks apart, consisted of five consecutive ESWT sessions without anesthesia. Regular X-ray follow-ups showed progressive disappearance of the fracture line and fracture union. The patient ultimately achieved a satisfactory asymptomatic recovery and bone union.
CONCLUSION
The results from this case suggest that this ESWT regimen can be a promising non-invasive treatment strategy for non-union following PAO.
背景
体外冲击波疗法（ESWT）因其疗效显著且相关并发症极少，越来越被视为治疗骨不连的一种优势替代方法。伯尔尼髋臼周围截骨术（PAO）后发生的骨不连尤其具有挑战性，据报道延迟愈合率为55%，骨不连率为8%。在此，我们重点介绍一例PAO术后坐骨骨不连的独特病例，该病例通过结构化的ESWT方案成功治愈。
病例总结
一名50岁患者，诊断为PAO术后左坐骨骨不连，在十个月内接受了六个周期的ESWT治疗。每个周期间隔四周，包括连续五次无需麻醉的ESWT治疗。定期X线随访显示骨折线逐渐消失且骨折愈合。患者最终实现了令人满意的无症状康复和骨愈合。
结论
该病例结果表明，这种ESWT方案可能是治疗PAO术后骨不连的一种有前景的非侵入性治疗策略。
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