Extracorporeal Shockwave Therapy in Osteonecrosis of the Femoral Head: Where Do We Stand?

Original Article | Vol 3 | Issue 2 |  July-December 2023 | page: 10-13 | Tianyang Liu, Fuqiang Gao, Wei Sun

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.91

Author: Tianyang Liu [1], Fuqiang Gao [2], Wei Sun [2, 3]

[1] Capital Medical University China-Japanese Friendship Clinical Medical Research Institute, Beijing, China,
[2] Department of Orthopedics, Shockwave Center, China-Japan Friendship Hospital, Chaoyang, Beijing, China,
[3] Department of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Address of Correspondence
Dr. Wei Sun,
Department of Orthopedics, Shockwave Center, China-Japan Friendship Hospital, Chaoyang, Beijing,
China/Department of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
E-mail: wei.sun@pennmedicine.upenn.edu

Abstract

Osteonecrosis of the femoral head (ONFH) is a progressive disease characterized by ischemic lesions and structural damage in the head of the femur caused by insufficient blood supply due to multiple etiologies. As a safe, effective, non-invasive, and low-cost treatment strategy, Extracorporeal Shockwave Treatment (ESWT) is now widely applied in musculoskeletal disorders such as delayed bone healing, bone marrow edema (BME), knee osteoarthritis, and certain types of avascular bone necrosis. ESWT may promote vascularization and osteogenesis through a cascade reaction stimulated by the transformation of physical energy, promoting tissue regeneration, and repair. ESWT is recommended in treating early-stage ONFH.
Keywords: Shock waves; ESWT, Femoral head osteonecrosis

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