Long‑term Results of Extracorporeal Shockwave Therapy and Core Decompression in Osteonecrosis of the Femoral Head with Eight‑ to Nine‑Year Follow‑up

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منابع مشابه

Long-term results of extracorporeal shockwave therapy and core decompression in osteonecrosis of the femoral head with eight- to nine-year follow-up.

BACKGROUND This study analyzed the long-term outcomes of extracorporeal shockwave therapy (ESWT) and core decompression for early osteonecrosis of the femoral head (ONFH) with 8- to 9-year follow-up. METHODS The study cohort consisted of 48 patients with 57 hips including 23 patients with 29 hips in the ESWT group and 25 patients with 28 hips in the surgical group. Patients in ESWT group rece...

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Extracorporeal shockwave therapy in osteonecrosis of femoral head

BACKGROUND Osteonecrosis is an incapacitating disorder with high morbidity. Though extracorporeal shockwave therapy (ESWT) provides a noninvasive treatment option, controversial subjects still exist about its effectiveness, indications, and mechanism of action. METHODS An electronic databases search was performed using PubMed, Embase, and the Cochrane library to collect clinical trials, case ...

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Core decompression for early atraumatic osteonecrosis of the femoral head.

We performed 41 core decompressions in 32 patients for stage I or stage II osteonecrosis of the femoral head. The intra-osseous pressure at the intertrochanteric level was raised in 28 (68%) and there was histological confirmation of necrosis in 36 hips (88%). After a follow-up of 10 to 84 months (mean 31) nine of the 12 stage I hips (75%) showed significant clinical or radiological deteriorati...

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Subchondral Insufficiency Fracture of the Femoral Head Treated with Core Decompression and Bone Void Filler Support

Subchondral insufficiency fracture of the femoral head (SIFFH) is characterized by acute onset hip pain without overt trauma. It appears as a low intensity band with bone marrow edema on T1-weighted MRI. The most common course of treatment is protected weight bearing for a period of several weeks. Total hip arthroplasty (THA) has been commonly used if the patient does not respond to the initial...

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Operative technique and results of core decompression and filling with bone grafts in the treatment of osteonecrosis of femoral head.

BACKGROUND The aim of this paper is to present the operative technique and results of core decompression and clearing of a necrotic zone in the femoral head followed by filling the defect with impacted autologous or synthetic bone grafts. This procedure allows for mechanical prevention of further collapse of the femoral head and loss of its spherical shape. It also creates conditions for the in...

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ژورنال

عنوان ژورنال: Biomedical Journal

سال: 2012

ISSN: 2319-4170

DOI: 10.4103/2319-4170.104413