Effectiveness of Lower Energy Density Extracorporeal Shock Wave Therapy in the Early Stage of Avascular Necrosis of the Femoral Head
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Objective To evaluate the effectiveness of lower energy flux density (EFD) extracorporeal shock wave therapy (ESWT) in the early stage of avascular necrosis (AVN) of the femoral head.Methods Nineteen patients and 30 hips were enrolled. All subjects received 4 weekly sessions of ESWT, at different energy levels; group A (n=15; 1,000 shocks/session, EFD per shock 0.12 mJ/mm2) and group B (n=15; 1,000 shocks/session, EFD per shock 0.32 mJ/mm2). We measured pain by using the visual analog scale (VAS), and disability by using the Harris hip score, Hip dysfunction and Osteoarthritis Outcome Score (HOOS), and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC). To determine the effect of the lower EFD ESWT, we assessed the VAS, Harris hip score, HOOS, WOMAC of the subjects before and at 1, 3, and 6 months.Results In both groups, the VAS, Harris hip score, HOOS, and WOMAC scores improved over time (p<0.05). Conclusion Lower EFD ESWT may be an effective method to improve the function and to relieve pain in the early stage of AVN.
Abstract
Objective To evaluate the effectiveness of lower energy flux density (EFD) extracorporeal shock wave therapy (ESWT) in the early stage of avascular necrosis (AVN) of the femoral head.Methods Nineteen patients and 30 hips were enrolled. All subjects received 4 weekly sessions of ESWT, at different energy levels; group A (n=15; 1,000 shocks/session, EFD per shock 0.12 mJ/mm2) and group B (n=15; 1,000 shocks/session, EFD per shock 0.32 mJ/mm2). We measured pain by using the visual analog scale (VAS), and disability by using the Harris hip score, Hip dysfunction and Osteoarthritis Outcome Score (HOOS), and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC). To determine the effect of the lower EFD ESWT, we assessed the VAS, Harris hip score, HOOS, WOMAC of the subjects before and at 1, 3, and 6 months.Results In both groups, the VAS, Harris hip score, HOOS, and WOMAC scores improved over time (p<0.05). Conclusion Lower EFD ESWT may be an effective method to improve the function and to relieve pain in the early stage of AVN.
참고문헌 (15)
- Wang CJ, "Extracorporeal shockwave therapy for avascular necrosis of femoral head", Int J Surg, 24(Pt B), pp.184~187 (2015)
- Assouline-Dayan Y, "Pathogenesis and natural history of osteonecrosis", Semin Arthritis Rheum, 32, pp.94~124 (2002)
- Mont MA, "Core decompression versus nonoperative management for osteonecrosis of the hip", Clin Orthop Relat Res, 324, pp.169~178 (1996)
- Wong T, "Cocktail therapy for hip necrosis in SARS patients", Chang Gung Med J, 31, pp.546~553 (2008)
- Revell P, "Book review: Bone circulation and vascularization in normal and pathological conditions", J Anat, 184(Pt 2), pp.429~ (1994)
- Kusz D, "The effects of treatment the avascular necrosis of the femoral head with extracorporeal focused shockwave therapy", Ortop Traumatol Rehabil, 14, pp.435~442 (2012)
- Carlsson AM, "Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale", Pain, 16, pp.87~101 (1983)
- Harris WH, "Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation", J Bone Joint Surg Am, 51, pp.737~755 (1969)
- Bellamy N, "Validation study of a computerized version of the Western Ontario and McMaster Universities VA3.0 Osteoarthritis Index", J Rheumatol, 24, pp.2413~2415 (1997)
- Chen JM, "Functional outcomes of bilateral hip necrosis: total hip arthroplasty versus extracorporeal shockwave", Arch Orthop Trauma Surg, 129, pp.837~841 (2009)
- Wang CJ, "Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting", J Bone Joint Surg Am, 87, pp.2380~2387 (2005)
- Ludwig J, "High-energy shock wave treatment of femoral head necrosis in adults", Clin Orthop Relat Res, 387, pp.119~126 (2001)
- Wang CJ, "Extracorporeal shockwave therapy shows regeneration in hip necrosis", Rheumatology (Oxford), 47, pp.542~546 (2008)
- Wang CJ, "Longterm results of extracorporeal shockwave therapy and core decompression in osteonecrosis of the femoral head with eight- to nine-year follow-up", Biomed J, 35, pp.481~485 (2012)
- Yin TC, "Shockwaves enhance the osteogenetic gene expression in marrow stromal cells from hips with osteonecrosis", Chang Gung Med J, 34, pp.367~374 (2011)