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| Treatment of osteochondral lesions of the talus with radial extracorporeal shock wave |
| LIU Shuitao1, YANG Jun2, SHI Zhan2, ZHANG Haochong2, and XING Gengyan1,2 |
1.Department of Orthopaedics, Xijing Hospital, the Fourth Military Medical University, Xi’an 710032, China;
2. The First Department of Orthopaedics, the General Hospital of Chinese People’s Armed Police Force, Beijing100039, China |
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Abstract Objective To evaluate the effect of the radial extracorporeal shock wave therapy on osteochondral lesions of the talus (OLT).Methods Between January 2010 and June 2016, 54 cases of patients (60 taluses) were treated with radial shock wave. The treatment involved 1.5-2.5 bar, 5 Hz, 2000-3000 shocks every time. Five times were taken as a course of treatment, and a total of three or four courses were needed for a patient. The patients were followed up at three, six, and twelve months after treatment which was evaluated by the patients’ ankle VAS pain score, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle and Hindfoot Score, and the sagittal lesion area by MRI.Results Three months after treatment, the VAS score decreased while the AOFAS score increased, which was significantly different from that before treatment (P<0.05). Six, twelve months after treatment, the ankle pain continued to be eased, and the functional scores continued to improve (P<0.01). The lesion area was (2.67±1.14) cm2 before treatment, but was (1.97±0.77) cm2 three months after treatment, which was reduced obviously at 6 months (1.04±0.61)cm2 and 12 months (0.46±0.25) cm2 (P<0.01), and even completely disappeared in some patients.Conclusions Radial extracorporeal shock wave can achieve good curative effect in the treatment of mild to moderate osteochondral lesions of the talus.
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Received: 02 April 2017
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2017, Vol. 28 
