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
Italian experience on use of E.S.W. therapy for avascular necrosis of femoral head / Russo, Sergio; Sadile, Francesco; Esposito, Roberto; Mosillo, Giuseppe; Aitanti, Emanuele; Busco, Gennaro; Wang, Ching Jen. - In: INTERNATIONAL JOURNAL OF SURGERY. - ISSN 1743-9191. - 24:Pt B(2015), pp. 188-190. [10.1016/j.ijsu.2015.11.038]
Italian experience on use of E.S.W. therapy for avascular necrosis of femoral head
SADILE, FRANCESCO;ESPOSITO, ROBERTO;MOSILLO, GIUSEPPE;AITANTI, EMANUELE;BUSCO, GENNARO;
2015
Abstract
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 MRII documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
