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Use of Focused Shock Waves in an Acute Talar Head Fracture

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Case Report | Vol 4 | Issue 1 |  January-June 2024 | page: 24-26 | Osvaldo Valle

DOI: https://doi.org/10.13107/jrs.2024.v04.i01.129

Author: Osvaldo Valle [1]

[1] Department of Orthopedic Surgeon Surgery, Ankle and Foot Team, MEDS Clinic, Santiago de Chile; President of ACHITOC (Chilean Association of Tissue Engineering and Shock Waves).

Address of Correspondence
Dr. Osvaldo Valle,
Department of Orthopedic Surgeon, Ankle and Foot Team, MEDS Clinic, Santiago de Chile; President of ACHITOC (Chilean Association of Tissue Engineering and Shock Waves).
E-mail: tovato@gmail.com

Abstract

Talar fractures are rare and can be difficult to manage. Even in the absence of complications, the treatment of this type of injury can be prolonged and uncomfortable for the patient. Focused shock waves have been shown to be effective in the treatment of delayed unions and non-unions. In this case report, we share our experience with the use of focused shock waves in an acute talus fracture in a patient with risk factors for healing.
Keywords: Talus, Talar fractures, Shock waves, Bone marrow edema

References:

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How to Cite this article: Valle O. Use of focused shock waves in an acute talar head fracture. Journal of Regenerative Science 2024;January-June;4(1):24-26.

 

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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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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] 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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