Osteonecrosis of Femoral Head Treated with Extracorporeal Shock Wave Therapy: Analysis of Short-term Clinical Outcomes of Treatment with Radiologic Staging

To evaluate clinical results of extracorporeal shock wave therapy (ESWT) with radiographic staging on patients with avascular necrosis of femoral head (AVNFH). We evaluated 24 patients diagnosed with AVNFH (32 hip joints) who were treated with ESWT from 1993 to 2012. Average follow-up period was 27...

Full description

Saved in:
Bibliographic Details
Published in:Hip & pelvis 2015, 27(4), , pp.250-257
Main Authors: Lee, Jin-Young, Kwon, Jae-Woo, Park, Jung-Seob, Han, Kyeol, Shin, Woo-Jin, Lee, Jeong-Gil, Lee, Byung Hoon
Format: Article
Language:English
Subjects:
Original
정형외과학
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c2740-d0c34f195a363677d0de944c8295de0729c04f89bef803eac4ef7140abc6a5043
cites cdi_FETCH-LOGICAL-c2740-d0c34f195a363677d0de944c8295de0729c04f89bef803eac4ef7140abc6a5043
container_end_page 257
container_issue 4
container_start_page 250
container_title Hip & pelvis
container_volume 27
creator Lee, Jin-Young
Kwon, Jae-Woo
Park, Jung-Seob
Han, Kyeol
Shin, Woo-Jin
Lee, Jeong-Gil
Lee, Byung Hoon
description To evaluate clinical results of extracorporeal shock wave therapy (ESWT) with radiographic staging on patients with avascular necrosis of femoral head (AVNFH). We evaluated 24 patients diagnosed with AVNFH (32 hip joints) who were treated with ESWT from 1993 to 2012. Average follow-up period was 27 months, and the average age of patients was 47.8 years. The Association Research Circulation Osseous (ARCO) system was used to grade radiographic stage prior to treatment. For this study patients were divided into two groups based on their ARCO stage, group 1 (ARCO stages I and II) and group 2 (ARCO stage III). Comparative analyses were done between the two groups using the visual analogue scale (VAS) score and the Harris hip score (HHS) at pre-treatment and 3, 6, 12, and 24 months after treatment. Failure was defined when radiographic stage progressed or arthroplasty surgery was needed due to clinical exacerbation. Both groups showed clinical improvements with VAS scoring at final follow-up (group 1: median 7 to 1.5, P
doi_str_mv 10.5371/hp.2015.27.4.250
format article
fullrecord <record><control><sourceid>proquest_nrf_k</sourceid><recordid>TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_698796</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1812883055</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2740-d0c34f195a363677d0de944c8295de0729c04f89bef803eac4ef7140abc6a5043</originalsourceid><addsrcrecordid>eNpVUs1r2zAUN2NjLV3vOw0dd7Er68OydxiE0K6FQqBN6VEo8nOsxbY8SWmXv2X_7JQ4DZsuT-j38R56vyT5nOOMU5FftWNGcM4zIjKWEY7fJeeElCKlRFTvT_cCnyWX3v_E8ZSkyDH5mJwRwWlRUHqe_Fn4AHYA7aw3HtkG3UBvnerQLagaLR2oADV6NaFF17-DU9q60cbXDj22Vm_Qs3oBtGzBqXH3Dc0G1e2ORhF3IQ3gejTvzGB01Cy2QdseDvjBu4chTO4Pqja2s2uj0WNQazOsPyUfGtV5uDzWi-Tp5no5v03vFz_u5rP7VBPBcFpjTVmTV1zRghZC1LiGijFdkorXgAWpNGZNWa2gKTEFpRk0ImdYrXShOGb0Ivk6-Q6ukRttpFXmUNdWbpycPSzvZFGVoioi9ftEHberHmodp49_JUdneuV2B-H_yGDaaPMiWSXIZHDsNTr7aws-yN54DV2nBrBbL_MyJ2VJMeeRiifqfjfeQXNqk2O5T4BsR7lPgCRCMhkTECVf_h3vJHjbN_0LjLavcA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1812883055</pqid></control><display><type>article</type><title>Osteonecrosis of Femoral Head Treated with Extracorporeal Shock Wave Therapy: Analysis of Short-term Clinical Outcomes of Treatment with Radiologic Staging</title><source>PubMed (Medline)</source><source>Free E-Journal (出版社公開部分のみ）</source><creator>Lee, Jin-Young ; Kwon, Jae-Woo ; Park, Jung-Seob ; Han, Kyeol ; Shin, Woo-Jin ; Lee, Jeong-Gil ; Lee, Byung Hoon</creator><creatorcontrib>Lee, Jin-Young ; Kwon, Jae-Woo ; Park, Jung-Seob ; Han, Kyeol ; Shin, Woo-Jin ; Lee, Jeong-Gil ; Lee, Byung Hoon</creatorcontrib><description>To evaluate clinical results of extracorporeal shock wave therapy (ESWT) with radiographic staging on patients with avascular necrosis of femoral head (AVNFH). We evaluated 24 patients diagnosed with AVNFH (32 hip joints) who were treated with ESWT from 1993 to 2012. Average follow-up period was 27 months, and the average age of patients was 47.8 years. The Association Research Circulation Osseous (ARCO) system was used to grade radiographic stage prior to treatment. For this study patients were divided into two groups based on their ARCO stage, group 1 (ARCO stages I and II) and group 2 (ARCO stage III). Comparative analyses were done between the two groups using the visual analogue scale (VAS) score and the Harris hip score (HHS) at pre-treatment and 3, 6, 12, and 24 months after treatment. Failure was defined when radiographic stage progressed or arthroplasty surgery was needed due to clinical exacerbation. Both groups showed clinical improvements with VAS scoring at final follow-up (group 1: median 7 to 1.5, P&lt;0.001; group 2: mean 7 to 4, P=0.056). Using HHS, group 1 showed a significant improvement (from 65.5 to 95 [P&lt;0.001]), while no significance was observed for group 2 (P=0.280). At final follow-up, 3 hips from group 1 and one hip from group 2 showed radiographic improvement; however, two patients underwent total hip arthroplasty due to persistent pain and dysfunction. ESWT can be considered as an interventional option before surgical treatment in patients with not only early stage AVNFH but also with mid stage.</description><identifier>ISSN: 2287-3260</identifier><identifier>EISSN: 2287-3279</identifier><identifier>DOI: 10.5371/hp.2015.27.4.250</identifier><identifier>PMID: 27536633</identifier><language>eng</language><publisher>Korea (South): Korean Hip Society</publisher><subject>Original ; 정형외과학</subject><ispartof>Hip and Pelvis, 2015, 27(4), , pp.250-257</ispartof><rights>Copyright © 2015 by Korean Hip Society 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2740-d0c34f195a363677d0de944c8295de0729c04f89bef803eac4ef7140abc6a5043</citedby><cites>FETCH-LOGICAL-c2740-d0c34f195a363677d0de944c8295de0729c04f89bef803eac4ef7140abc6a5043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972796/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972796/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27536633$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002062637$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Jin-Young</creatorcontrib><creatorcontrib>Kwon, Jae-Woo</creatorcontrib><creatorcontrib>Park, Jung-Seob</creatorcontrib><creatorcontrib>Han, Kyeol</creatorcontrib><creatorcontrib>Shin, Woo-Jin</creatorcontrib><creatorcontrib>Lee, Jeong-Gil</creatorcontrib><creatorcontrib>Lee, Byung Hoon</creatorcontrib><title>Osteonecrosis of Femoral Head Treated with Extracorporeal Shock Wave Therapy: Analysis of Short-term Clinical Outcomes of Treatment with Radiologic Staging</title><title>Hip &amp; pelvis</title><addtitle>Hip Pelvis</addtitle><description>To evaluate clinical results of extracorporeal shock wave therapy (ESWT) with radiographic staging on patients with avascular necrosis of femoral head (AVNFH). We evaluated 24 patients diagnosed with AVNFH (32 hip joints) who were treated with ESWT from 1993 to 2012. Average follow-up period was 27 months, and the average age of patients was 47.8 years. The Association Research Circulation Osseous (ARCO) system was used to grade radiographic stage prior to treatment. For this study patients were divided into two groups based on their ARCO stage, group 1 (ARCO stages I and II) and group 2 (ARCO stage III). Comparative analyses were done between the two groups using the visual analogue scale (VAS) score and the Harris hip score (HHS) at pre-treatment and 3, 6, 12, and 24 months after treatment. Failure was defined when radiographic stage progressed or arthroplasty surgery was needed due to clinical exacerbation. Both groups showed clinical improvements with VAS scoring at final follow-up (group 1: median 7 to 1.5, P&lt;0.001; group 2: mean 7 to 4, P=0.056). Using HHS, group 1 showed a significant improvement (from 65.5 to 95 [P&lt;0.001]), while no significance was observed for group 2 (P=0.280). At final follow-up, 3 hips from group 1 and one hip from group 2 showed radiographic improvement; however, two patients underwent total hip arthroplasty due to persistent pain and dysfunction. ESWT can be considered as an interventional option before surgical treatment in patients with not only early stage AVNFH but also with mid stage.</description><subject>Original</subject><subject>정형외과학</subject><issn>2287-3260</issn><issn>2287-3279</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpVUs1r2zAUN2NjLV3vOw0dd7Er68OydxiE0K6FQqBN6VEo8nOsxbY8SWmXv2X_7JQ4DZsuT-j38R56vyT5nOOMU5FftWNGcM4zIjKWEY7fJeeElCKlRFTvT_cCnyWX3v_E8ZSkyDH5mJwRwWlRUHqe_Fn4AHYA7aw3HtkG3UBvnerQLagaLR2oADV6NaFF17-DU9q60cbXDj22Vm_Qs3oBtGzBqXH3Dc0G1e2ORhF3IQ3gejTvzGB01Cy2QdseDvjBu4chTO4Pqja2s2uj0WNQazOsPyUfGtV5uDzWi-Tp5no5v03vFz_u5rP7VBPBcFpjTVmTV1zRghZC1LiGijFdkorXgAWpNGZNWa2gKTEFpRk0ImdYrXShOGb0Ivk6-Q6ukRttpFXmUNdWbpycPSzvZFGVoioi9ftEHberHmodp49_JUdneuV2B-H_yGDaaPMiWSXIZHDsNTr7aws-yN54DV2nBrBbL_MyJ2VJMeeRiifqfjfeQXNqk2O5T4BsR7lPgCRCMhkTECVf_h3vJHjbN_0LjLavcA</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Lee, Jin-Young</creator><creator>Kwon, Jae-Woo</creator><creator>Park, Jung-Seob</creator><creator>Han, Kyeol</creator><creator>Shin, Woo-Jin</creator><creator>Lee, Jeong-Gil</creator><creator>Lee, Byung Hoon</creator><general>Korean Hip Society</general><general>대한고관절학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ACYCR</scope></search><sort><creationdate>20151201</creationdate><title>Osteonecrosis of Femoral Head Treated with Extracorporeal Shock Wave Therapy: Analysis of Short-term Clinical Outcomes of Treatment with Radiologic Staging</title><author>Lee, Jin-Young ; Kwon, Jae-Woo ; Park, Jung-Seob ; Han, Kyeol ; Shin, Woo-Jin ; Lee, Jeong-Gil ; Lee, Byung Hoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2740-d0c34f195a363677d0de944c8295de0729c04f89bef803eac4ef7140abc6a5043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Original</topic><topic>정형외과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Jin-Young</creatorcontrib><creatorcontrib>Kwon, Jae-Woo</creatorcontrib><creatorcontrib>Park, Jung-Seob</creatorcontrib><creatorcontrib>Han, Kyeol</creatorcontrib><creatorcontrib>Shin, Woo-Jin</creatorcontrib><creatorcontrib>Lee, Jeong-Gil</creatorcontrib><creatorcontrib>Lee, Byung Hoon</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Korean Citation Index</collection><jtitle>Hip &amp; pelvis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Jin-Young</au><au>Kwon, Jae-Woo</au><au>Park, Jung-Seob</au><au>Han, Kyeol</au><au>Shin, Woo-Jin</au><au>Lee, Jeong-Gil</au><au>Lee, Byung Hoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Osteonecrosis of Femoral Head Treated with Extracorporeal Shock Wave Therapy: Analysis of Short-term Clinical Outcomes of Treatment with Radiologic Staging</atitle><jtitle>Hip &amp; pelvis</jtitle><addtitle>Hip Pelvis</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>27</volume><issue>4</issue><spage>250</spage><epage>257</epage><pages>250-257</pages><issn>2287-3260</issn><eissn>2287-3279</eissn><abstract>To evaluate clinical results of extracorporeal shock wave therapy (ESWT) with radiographic staging on patients with avascular necrosis of femoral head (AVNFH). We evaluated 24 patients diagnosed with AVNFH (32 hip joints) who were treated with ESWT from 1993 to 2012. Average follow-up period was 27 months, and the average age of patients was 47.8 years. The Association Research Circulation Osseous (ARCO) system was used to grade radiographic stage prior to treatment. For this study patients were divided into two groups based on their ARCO stage, group 1 (ARCO stages I and II) and group 2 (ARCO stage III). Comparative analyses were done between the two groups using the visual analogue scale (VAS) score and the Harris hip score (HHS) at pre-treatment and 3, 6, 12, and 24 months after treatment. Failure was defined when radiographic stage progressed or arthroplasty surgery was needed due to clinical exacerbation. Both groups showed clinical improvements with VAS scoring at final follow-up (group 1: median 7 to 1.5, P&lt;0.001; group 2: mean 7 to 4, P=0.056). Using HHS, group 1 showed a significant improvement (from 65.5 to 95 [P&lt;0.001]), while no significance was observed for group 2 (P=0.280). At final follow-up, 3 hips from group 1 and one hip from group 2 showed radiographic improvement; however, two patients underwent total hip arthroplasty due to persistent pain and dysfunction. ESWT can be considered as an interventional option before surgical treatment in patients with not only early stage AVNFH but also with mid stage.</abstract><cop>Korea (South)</cop><pub>Korean Hip Society</pub><pmid>27536633</pmid><doi>10.5371/hp.2015.27.4.250</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2287-3260
ispartof Hip and Pelvis, 2015, 27(4), , pp.250-257
issn 2287-3260
2287-3279
language eng
recordid cdi_nrf_kci_oai_kci_go_kr_ARTI_698796
source PubMed (Medline); Free E-Journal (出版社公開部分のみ）
subjects Original
정형외과학
title Osteonecrosis of Femoral Head Treated with Extracorporeal Shock Wave Therapy: Analysis of Short-term Clinical Outcomes of Treatment with Radiologic Staging
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T18%3A30%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_nrf_k&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Osteonecrosis%20of%20Femoral%20Head%20Treated%20with%20Extracorporeal%20Shock%20Wave%20Therapy:%20Analysis%20of%20Short-term%20Clinical%20Outcomes%20of%20Treatment%20with%20Radiologic%20Staging&rft.jtitle=Hip%20&%20pelvis&rft.au=Lee,%20Jin-Young&rft.date=2015-12-01&rft.volume=27&rft.issue=4&rft.spage=250&rft.epage=257&rft.pages=250-257&rft.issn=2287-3260&rft.eissn=2287-3279&rft_id=info:doi/10.5371/hp.2015.27.4.250&rft_dat=%3Cproquest_nrf_k%3E1812883055%3C/proquest_nrf_k%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c2740-d0c34f195a363677d0de944c8295de0729c04f89bef803eac4ef7140abc6a5043%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1812883055&rft_id=info:pmid/27536633&rfr_iscdi=true