Selected article for: "core decompression and hip arthroplasty"
Author: Zhang, Qingyu; Liu, Lihua; Sun, Wei; Gao, Fuqiang; Cheng, Liming; Li, Zirong
Title: Extracorporeal shockwave therapy in osteonecrosis of femoral head: A systematic review of now available clinical evidences
  • Document date: 2017_1_27
    • ID: 4t5bjbtu_2
    Snippet: Multiple options are available for treating ONFH. Surgical treatment methods include core decompression (CD), conversion osteotomy, bone transplants with or without vascular pedicles, total hip arthroplasty (THA) and so on; however, modalities such as weight bearing restriction, alendronate, anticoagulant drugs, lipid-lowering agents and extracorporeal shockwave therapy (ESWT) are employed as noninvasive and biophysical alternatives to solve this.....
    Document: Multiple options are available for treating ONFH. Surgical treatment methods include core decompression (CD), conversion osteotomy, bone transplants with or without vascular pedicles, total hip arthroplasty (THA) and so on; however, modalities such as weight bearing restriction, alendronate, anticoagulant drugs, lipid-lowering agents and extracorporeal shockwave therapy (ESWT) are employed as noninvasive and biophysical alternatives to solve this challenging disease. [6] [7] [8] [9] ESWT was introduced into the medical field after World War II, targeted at managing urinary calculus first and subsequently incidental phenomena that pelvic bone density increased during lithotripsy intrigued orthopedists to apply extracorporeal shockwave to treat musculoskeletal disorders. [10] A amount of studies investigated the effect of ESWT in the treatment of ONFH but high-quality evidence about its mechanism and effectiveness is still urgently needed. CD with/without bone grafting remains the gold standard for hip-salvage treatment.

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