移植术后早期股骨头坏死体外冲击波治疗的有效性

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Abstract Objective To evaluate the effectiveness of extracorporeal shock waves in relieving pain and slowing the progression of intraosseous lesions in 36 patients with avascular necrosis of the femoral head after transplantation. Methods Clinical assessment involved pain scores, Harris Hip Scores,Roles and Maudsley score, X-ray and MRI.Each treatment cycle consisted of four sessions, with 2,400 impulses administered at 0.50 mJ/mm² and at 48-72 h intervals. Follow-up examinations were scheduled at 3, 6,12 and then 24 months. Results A total of 36 patients (23 males and 13 females) were enrolled in the study, who were aged 45 to 65, weighed 45 to 101 kg, and 150 to 175 cm tall. Treatment failed in 10 cases and 26 cases were improved.The follow-up period was 24 months and no adverse reactions were found. At each follow-up time point, patients in the ARCOⅠandⅡ groups were significantly better than those in the ARCO Ⅲ group (P<0.005). Conclusions For post-transplantation patients in ARCO stages Ⅰ and Ⅱ, ESWT may help to contain the spread of the area of avascular necrosis and manage pain.

Key words： shock wave therapy avascular necrosis of the femoral head conservative treatment post-transplantation

Received: 05 September 2019

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	Articles by authors
	WANG Yaoting
	ZHANG Haochong
	ZHAO Bin
	BAI Xiaodong
	XING Gengyan

Cite this article:

WANG Yaoting,ZHANG Haochong,ZHAO Bin等. Extracorporeal shock wave therapy for early femoral head necrosis after transplantation[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2020, 31(5): 430-434.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2020/V31/I5/430

[1]	Ding H, Wang S, Feng H, et al. Clinical efficacy of individual extracorporeal shockwave treatment [J]. Orthopade, 2019, 48(7): 610-617.
[2]	Algarni A D, H M Al Moallem. Clinical and Radiological Outcomes of Extracorporeal Shock Wave Therapy in Early-Stage Femoral Head Osteonecrosis [J]. Adv Orthop, 2018, 74(10):246.
[3]	Wang J, Wang J, Zhang K, et al. Bayesian network meta-analysis of the effectiveness of various interventions for nontraumatic osteonecrosis of the femoral head[J]. Bio Med Res Int, 2018, 27(90):163.
[4]	Hao Y, Guo H, Xu Z, et al. Meta-analysis of the potential role of extracorporeal shockwave therapy in osteonecrosis of the femoral head [J]. J Orthop Surg Res, 2018, 13(1): 166.
[5]	Wang Z, Sun Q M, Zhang F Q, et al. Core decompression combined with autologous bone marrow stem cells versus core decompression alone for patients with osteonecrosis of the femoral head: a meta-analysis [J]. Int J Surg, 2019, 69:23-31.
[6]	Lee Y K, Lee B, Parvizi J, et al. Which Osteotomy for Osteonecrosis of the Femoral Head and Which Patient for the Osteotomy? [J]. Clin Orthop Surg, 2019, 11(2): 137-141.
[7]	Ben-Zvi L, Sebag D, Izhaki G, et al. Diagnosis and Management of Infectious Arthritis in Children [J]. Curr Infect Dis Rep, 2019, 21(7): 23.
[8]	Petek D, Hannouche D, Suva D. Osteonecrosis of the femoral head: pathophysiology and current concepts of treatment [J]. EFORT Open Rev, 2019, 4(3): 85-97.
[9]	Lee Y J, Cui Q, Koo K H. Is There a Role of Pharmacological Treatments in the Prevention or Treatment of Osteonecrosis of the Femoral Head: A Systematic Review [J]. J Bone Metab, 2019, 26(1): 13-18.
[10]	Cohen-Rosenblum A, Cui Q. Osteonecrosis of the Femoral Head [J]. Orthop Clin North Am, 2019, 50(2): 139-149.
[11]	Ohzono K, Saito M, Sugano N, et al. The fate of nontraumatic avascular necrosis of the femoral head. A radiologic classification to formulate prognosis [J]. Clin Orthop Relat Res, 1992, 277:73-78.
[12]	Massari L, Fini M, Cadossi R, et al. Biophysical stimulation with pulsed electromagnetic fields in osteonecrosis of the femoral head [J]. J Bone Joint Surg Am, 2006, 88(3):56-60.
[13]	Hopper R A, Verhalen J P, Tepper O, et al. Osteoblasts stimulated with pulsed electromagnetic fields increase HUVEC proliferation via a VEGF-A independent mechanism [J]. Bioelectromagnetics, 2009, 30(3): 189-197.
[14]	Ma H Z, Zeng B F, Li X L. Upregulation of VEGF in subchondral bone of necrotic femoral heads in rabbits with use of extracorporeal shock waves [J]. Calcif Tissue Int, 2007, 81(2): 124-131.
[15]	Ma H Z, Zeng B F, Li X L, et al. Temporal and spatial expression of BMP-2 in sub-chondral bone of necrotic femoral heads in rabbits by use of extracorporeal shock waves [J]. Acta Orthop, 2008, 79(1): 98-105.
[16]	Wang C J, Yang Y J, Huang C C. The effects of shockwave on systemic concentrations of nitric oxide level, angiogenesis and osteogenesis factors in hip necrosis [J]. Rheumatol Int, 2011, 31(7): 871-877.
[17]	Hausdorf J, Lutz A, Mayer-Wagner S, et al. Shock wave therapy for femoral head necrosis-pressure measurements inside the femoral head [J]. J Biomech, 2010, 43(11): 2065-2069.
[18]	Xie K, Mao Y, Qu X, et al. High-energy extracorporeal shock wave therapy for nontraumatic osteonecrosis of the femoral head [J]. J Orthop Surg Res,2018,13(1):25.
[19]	Yu X, Zhang D, Chen X, et al. Effectiveness of various hip preservation treatments for non-traumatic osteonecrosis of the femoral head: a network meta-analysis of randomized controlled trials [J]. J Orthop Sci, 2018, 23(2): 356-364.
[20]	Zhang Q, Liu L, Sun W, et al. Extracorporeal shockwave therapy in osteonecrosis of femoral head: a systematic review of now available clinical evidences [J]. Medicine (Baltimore), 2017, 96(4): e5897.
[21]	Wang C J, Huang C C, Yip H K, et al. Dosage effects of extracorporeal shockwave therapy in early hip necrosis [J]. Int J Surg, 2016, 35:179-186.
[22]	Ma Y W, Jiang D L, Zhang D, et al. Radial extracorporeal shock wave therapy in a person with advanced osteonecrosis of the femoral head [J]. Am J Phys Med Rehabil, 2016, 95(9): e133-139.
[23]	Wang C J, Wang F S, Huang C C, et al. Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting [J]. J Bone Joint Surg Am, 2005, 87(11): 2380-2387.
[24]	Wang C J, Wang F S, Yang K D, et al. Treatment of osteonecrosis of the hip: comparison of extracorporeal shockwave with shockwave and alendronate [J]. Arch Orthop Trauma Surg, 2008, 128(9): 901-908.