Yan Jun, Zhu Jun-Yu, Zhao Fei-Fei, Xiao Jian, Li Hao, Wang Ming-Xin, Guo Jing, Cui Liang, Xing Geng-Yan
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.
World J Orthop. 2024 Oct 18;15(10):991-996. doi: 10.5312/wjo.v15.i10.991.
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.
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.
The results from this case suggest that this ESWT regimen can be a promising non-invasive treatment strategy for non-union following PAO.
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。
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。
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。
