Author: Liu, Li-Hua; Zhang, Qing-Yu; Sun, Wei; Li, Zi-Rong; Gao, Fu-Qiang
Title: Corticosteroid-induced Osteonecrosis of the Femoral Head: Detection, Diagnosis, and Treatment in Earlier Stages Document date: 2017_11_5
ID: vvjcxor9_31
Snippet: Protected weight bearing is an important and helpful measure if combined with other treatment options. Three kinds of biophysical therapies were more commonly reported, including extracorporeal shockwave therapy (ESWT), pulsed electromagnetic fields, and hyperbaric oxygen as noninvasive alternative methods in early-stage ONFH. The exact mechanism of biophysical treatments remains unclear because of the lack of clinical evidence. Gao et al. [47] r.....
Document: Protected weight bearing is an important and helpful measure if combined with other treatment options. Three kinds of biophysical therapies were more commonly reported, including extracorporeal shockwave therapy (ESWT), pulsed electromagnetic fields, and hyperbaric oxygen as noninvasive alternative methods in early-stage ONFH. The exact mechanism of biophysical treatments remains unclear because of the lack of clinical evidence. Gao et al. [47] reported that 83.9% of patients with early-stage ONFH (335 patients, 528 hips) were treated with shockwave therapy. The result showed significant improvements in the function of the affected hips and reduction in the BEM on MRI. ESWT should be commonly used in the hips in early-stage ONFH before the development of the crescent sign.
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