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Clinical and Radiological Outcomes of Extracorporeal Shock Wave Therapy in Early-Stage Femoral Head Osteonecrosis
المؤلفون المشاركون
Algarni, Abdulrahman D.
Al Moallem, Hassan M.
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-08-19
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Objective.
Femoral head osteonecrosis is a progressive clinical condition with significant morbidity and long-term disability.
Several treatment modalities including both surgical and nonsurgical options have been used with variable levels of success.
High-energy extracorporeal shock wave therapy is a nonoperative treatment option that has been described for early-stage disease.
We aimed to assess the functional and radiological outcomes of extracorporeal shockwave therapy (ESWT) in the treatment of osteonecrosis of the femoral head (ONFH).
Methods.
Thirty-three hips of 21 patients were included in this study.
Adult patients with ONFH of any etiology and in the precollapse stage were included.
Clinical (visual analogue scale [VAS] and Harris hip score [HHS]) and radiological (plain radiographs and magnetic resonance imaging [MRI]) evaluations were performed before and after intervention.
We used 3000–4500 pulses in a single session performed under general anesthesia.
Results.
At an average of 8 months after ESWT, pain scores and HHS were significantly improved compared with the preintervention scores (p<0.001).
The overall clinical outcomes were improved in 21 hips (63.3%), unchanged in 5 hips (15.15%), and worsened in 7 hips (21.2%).
A trend toward a decrease in the size of the ONFH was observed although not of clinical significance (p=0.235).
MRI revealed significant resolution of bone marrow edema (p<0.003).
Regression was observed in 9 lesions (42.9%) and progression in 1 lesion (4.7%); no change was observed in the remaining 23 lesions (52.4%).
Conclusion.
ESWT is a viable noninvasive treatment option for early-stage ONFH.
It significantly improves clinical outcomes and may halt or delay the radiographic progression of the disease in the precollapse stage.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Algarni, Abdulrahman D.& Al Moallem, Hassan M.. 2018. Clinical and Radiological Outcomes of Extracorporeal Shock Wave Therapy in Early-Stage Femoral Head Osteonecrosis. Advances in Orthopedics،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1122646
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Algarni, Abdulrahman D.& Al Moallem, Hassan M.. Clinical and Radiological Outcomes of Extracorporeal Shock Wave Therapy in Early-Stage Femoral Head Osteonecrosis. Advances in Orthopedics No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1122646
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Algarni, Abdulrahman D.& Al Moallem, Hassan M.. Clinical and Radiological Outcomes of Extracorporeal Shock Wave Therapy in Early-Stage Femoral Head Osteonecrosis. Advances in Orthopedics. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1122646
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1122646
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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