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High energy focused extracorporeal shock wave therapy for early and mid-stage femoral head necrosis: A single center retrospective cohort study

December 30, 2023/0 Comments/in Vol 3 | Issue 2 | Jul-Dec 2023/by Editor JRS

Original Article | Vol 3 | Issue 2 | July-December 2023 | page: 29-34 | Leilei Zhang, Xuanye Zhu, Haonan Ling, Ruimeng Duan, Ying Zhang, Youwen Liu, Xiantao Chen DOI: https://doi.org/10.13107/jrs.2023.v03.i02.97 Author: Leilei Zhang [1, 2], Xuanye Zhu [2], Haonan Ling [1], Ruimeng Duan [1], Ying Zhang [1], Youwen Liu [1], Xiantao Chen [1] [1] […]

Analysis of therapeutic effect of high focused extracorporeal shock wave comprehensive therapy on femoral head bone marrow edema syndrome

December 30, 2023/0 Comments/in Vol 3 | Issue 2 | Jul-Dec 2023/by Editor JRS

Original Article | Vol 3 | Issue 2 | July-December 2023 | page: 35-40 | Ruimeng Duan, Leilei Zhang, Haonan Ling, Jie Guan, Huisheng Shi, Dawei Liang, Xiantao Chen DOI: https://doi.org/10.13107/jrs.2023.v03.i02.99 Author: Ruimeng Duan [1], Leilei Zhang [1], Haonan Ling [1], Jie Guan [1], Huisheng Shi [1], Dawei Liang [1], Xiantao Chen [1] [1] Department […]

High energy focused extracorporeal shock wave therapy for early and mid-stage femoral head necrosis: A single center retrospective cohort study

December 30, 2023/0 Comments/in Vol 3 | Issue 2 | Jul-Dec 2023/by Editor JRS

Analysis of therapeutic effect of high focused extracorporeal shock wave comprehensive therapy on femoral head bone marrow edema syndrome

December 30, 2023/0 Comments/in Vol 3 | Issue 2 | Jul-Dec 2023/by Editor JRS

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High energy focused extracorporeal shock wave therapy for early and mid-stage femoral head necrosis: A single center retrospective cohort study

December 30, 2023/0 Comments/in Vol 3 | Issue 2 | Jul-Dec 2023/by Editor JRS

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.97

Author: Leilei Zhang [1, 2], Xuanye Zhu [2], Haonan Ling [1], Ruimeng Duan [1], Ying Zhang [1], Youwen Liu [1], Xiantao Chen [1]

[1] Center of hip Surgery, Henan Luoyang Orthopedic-Traumatological Hospital, Orthopedic Hospital of Henan Province, Luoyang, China.
[2] Henan University of Traditional Chinese Medicine, Zhengzhou, China.

Address of Correspondence
Dr. Youwen Liu and Xiantao Chen,
Medical Center of Hip Surgery, Henan Luoyang Orthopedic- Traumatological Hospital, Orthopedic Hospital of Henan Province, No. 82, South Qiming Road, 471002, Luoyang, China.
E-mail: luoyangzhenggu@139.com

Abstract

Background: Research has shown that extracorporeal shock wave therapy has a certain therapeutic effect on the osteonecrosis of the femoral head (ONFH). However, the sample sizes are relatively small. The aim of this study is to evaluate and investigate the clinical efficacy and safety of high-energy extracorporeal shock wave treatment (ESWT) in the management of early and mid-stage ONFH by observing a large size clinical sample.
Materials & Methods: 453 patients with stage I–III ONFH treated ESWT in our hospital between June 2019 to August 2021, are included. The visual analog pain scale (VAS), Harris hip score, radiography, and magnetic resonance imaging were used to estimate treatment results. The progression of ONFH was evaluated by imaging examination and clinical outcomes.
Results: The mean follow-up was 39.81±7.94 months (range 26 to 50 months). The mean VAS decreased from 5.54 ± 1.19 before ESWT treatment to 1.92 ± 0.43 points at the 12 months follow-up (p < 0.001). The mean Harris hip score improved from 75.51 ± 5.14 before ESWT treatment, to 92.21 ± 4.53 at the 12 months follow-up (p < 0.001). The clinical success(improvement) was observed in 85.71% of ARCO stage I patients, 48.09% of ARCO stage II patients, and 49.15% of ARCO stage III patients. Imaging success (no worsening of clinical images) was observed in 12.38% stage I hips, 28.37% of stage II hips, and 27.12% of stage III hips, respectively. The hip joint survival rate of stage Ⅱ and stage Ⅲ patients was 86.51% and 77.97% (P<0.05).
Conclusions: The result of the current study suggests that ESWT definitely represents an effective, reliable, and safe therapeutic method for early and middle stages of ONFH with bone marrow edema syndrome (BMES), and should be recommended as a therapeutic option.
Keywords: High-energy extracorporeal shock wave therapy, Osteonecrosis, Femoral head, Bone marrow edema.

References:

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How to Cite this article: Zhang L, Zhu X, Ling H, Duan R, Zhang Y, Liu Y, Chen X | High energy focused extracorporeal shock wave therapy for early and mid-stage femoral head necrosis: A single center retrospective cohort study | Journal of Regenerative Science | Jul-Dec 2023; 3(2): 29-34.

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Analysis of therapeutic effect of high focused extracorporeal shock wave comprehensive therapy on femoral head bone marrow edema syndrome

December 30, 2023/0 Comments/in Vol 3 | Issue 2 | Jul-Dec 2023/by Editor JRS

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.99

Author: Ruimeng Duan [1], Leilei Zhang [1], Haonan Ling [1], Jie Guan [1], Huisheng Shi [1], Dawei Liang [1], Xiantao Chen [1]

[1] Department of Femoral Head Necrosis, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang, Henan, China.

Address of Correspondence
Dr. Xiantao Chen,
Department of Femoral Head Necrosis, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), No. 82 Qiming South Road, Luoyang, Henan Province 471000, China.
E-mail: luoyangzhenggu@163.com

Abstract

Purpose: This study explored the clinical therapeutic effect of high-focused extracorporeal shock wave therapy (HF-ESWT) combined with exercise rehabilitation and drug therapy on femoral head bone marrow edema syndrome (BMES).
Materials and Methods: This study systematically reviewed and analyzed the clinical data of 43 patients with femoral head bone marrow edema who were treated in our hospital from January 2017 to June 2022. Twenty-three patients received HF-ESWT comprehensive treatment. Twenty patients received general treatment including medication and exercise rehabilitation treatment. The treatment methods for Group B patients were the same as Group A, except for not receiving shock wave therapy. Changes in visual analog scale (VAS), Harris score of the hip, and the edema area of region of interest area (ROIA) on hip magnetic resonance imaging (MRI) were analyzed before and after treatment.
Results: Our research found that patients receiving HF-ESWT had significantly reduced VAS compared with general treatment at 1, 2, and 3 months (P < 0.05). We found that HF-ESWT comprehensive treatment had significantly improved hip Harris score compared with general treatment at 2 and 3 months (P < 0.05). HF-ESWT comprehensive treatment had significantly reduced edema area of ROIA on hip MRI compared with general treatment at 1, 2, and 3 months (P < 0.05). In addition, the healing rate was significantly higher in the HF-ESWT
comprehensive treatment group compared with general treatment group (P < 0.05). One of the patients in the group treated with shockwaves developed hip pain that worsened after treatment, three patients developed local skin ecchymosis, and the other patients had no adverse events.
Conclusion: HF-ESWT comprehensive treatment significantly reduced hip pain symptoms, quickly shortened the time for femoral head edema to dissipate, and significantly improved hip function for affected limbs with bone marrow edema syndrome. HF-ESWT comprehensive treatment may be an effective therapeutic strategy for HF-BMES.
Keywords: Extracorporeal shock wave therapy, Bone marrow edema syndrome, Traditional Chinese medicine, Osteonecrosis of the femoral head

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How to Cite this article: Duan R, Zhang L, Ling H, Guan J, Shi H, Liang D, Chen X | Analysis of therapeutic effect of high focused extracorporeal shock wave comprehensive therapy on femoral head bone marrow edema syndrome | Journal of Regenerative Science | Jul-Dec 2023; 3(2): 35-40.

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High energy focused extracorporeal shock wave therapy for early and mid-stage femoral head necrosis: A single center retrospective cohort study

Analysis of therapeutic effect of high focused extracorporeal shock wave comprehensive therapy on femoral head bone marrow edema syndrome

High energy focused extracorporeal shock wave therapy for early and mid-stage femoral head necrosis: A single center retrospective cohort study

Analysis of therapeutic effect of high focused extracorporeal shock wave comprehensive therapy on femoral head bone marrow edema syndrome

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High energy focused extracorporeal shock wave therapy for early and mid-stage femoral head necrosis: A single center retrospective cohort study

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Analysis of therapeutic effect of high focused extracorporeal shock wave comprehensive therapy on femoral head bone marrow edema syndrome

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