Italian experience on use of ESW therapy for avascular necrosis of femoral head

[摘要] Osteonecrosis (avascular necrosis) of the femoral head is a clinical disease due to a severe bone vascular alteration associated with intense pain and loss of joint function, with an incidence of 0.1% and unknown aetiology. Many classifications exist to describe it and in the final stages the patient will need a total hip arthroplasty. In the early stages, ESWT has given excellent responses. The Neapolitan school studied more than 600 patients who had very good results in I and II stages of Ficat and Arlet Classification, with an improve of outcomes in VAS and HSS scores. Moreover it has shown a complete restoration of the signal intensity of the femoral head in MRI. (C) 2015 Published by Elsevier Ltd on behalf of IJS Publishing Group Limited.

[发布日期] 2015-12-01

[关键词] Orthopedics;ESWT;Shock wave;Avascular necrosis of femoral head;Osteonecrosis