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

作者：Russo Sergio^*; Sadile Francesco; Esposito Roberto; Mosillo Giuseppe; Aitanti Emanuele; Busco Gennaro; Wang Ching Jen

来源：International Journal of Surgery, 2015, 24: 188-190.

DOI：10.1016/j.ijsu.2015.11.038

• Orthopedics
• ESWT
• Shock wave
• Avascular necrosis of femoral head
• Osteonecrosis

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.

• 单位
  长春大学