Extracorporeal shockwave therapy for osteonecrosis of femoral head: traps and challenges_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SUN Wei ^1,2 ,  LI Zirong ¹

1. Department of Orthopedics, China-Japan Friendship Hospital, Beijing, 100029, P.R.China;
2. Shock Wave Medicine Center, Dornier Academy, China-Japan Friendship Hospital, Beijing, 100085, P.R.China;

Corresponding author：

LI Zirong, Email: lizirongon@163.com

Keywords：

Extracorporeal shock wave; osteonecrosis of femoral head

DOI：

10.7507/1002-1892.201905059

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Extracorporeal shock wave (ESW), as a noninvasive, safe, and effective treatment, was applied to the treatment in osteonecrosis of femoral head (ONFH) since the end of last century. Although this therapy is more and more widely used, there are many traps and challenges. We recommend using the high-energy focus ESW to treat ONFH, rather than using the low energy radial pressure wave. Furthermore, for different types ONFH, scientific personalized treatment planning should be made first. There are demands of multicenter united researches for this unknown field of ONFH treated with ESW, and so to provide high-level evidence-based medicine evidence.

Citation： SUN Wei, LI Zirong. Extracorporeal shockwave therapy for osteonecrosis of femoral head: traps and challenges. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(6): 659-661. doi: 10.7507/1002-1892.201905059 Copy

1.	Moya D, Ramón S, Schaden W, et al. The role of extracorporeal shockwave treatment in musculoskeletal disorders. J Bone Joint Surg (Am), 2018, 100(3): 251-263.
2.	Zhang Q, Liu L, Sun W, et al. Extracorporeal shockwave therapy in osteonecrosis of femoral head: A systematic review of now available clinical evidences. Medicine (Baltimore), 2017, 96(4): e5897.
3.	Lee YJ, Cui Q, Koo KH. Is There a role of pharmacological treatments in the prevention or treatment of osteonecrosis of the femoral head?: a systematic review. J Bone Metab, 2019, 26(1): 13-18.
4.	Császár NB, Angstman NB, Milz S, et al. Radial shock wave devices generate cavitation. PLoS One, 2015, 10(10): e0140541.
5.	Wang CJ, Huang CC, Yip HK, et al. Dosage effects of extracorporeal shockwave therapy in early hip necrosis. Int J Surg, 2016, 35: 179-186.
6.	Gao F, Sun W, Li Z, et al. High-energy extracorporeal shock wave for early stage osteonecrosis of the femoral head: a single-center case series. Evid Based Complement Alternat Med, 2015, 2015: 468090.
7.	International Society for Medical Shockwave Treatment. Consensus statement on ESWT indications and contraindications. https://www.shockwavetherapy.org/ fileadmin/user_upload/dokumente/PDFs/Formulare/ISMST_consensus_statement_on_indications_and_contraindications_20161012_final.pdf. Accessed 2017 Nov 6.
8.	Wang CJ, Wang FS, Huang CC, et al. Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg (Am), 2005, 87(11): 2380-2387.
9.	López-Lluva MT, Jurado-Román A, Sánchez-Pérez I, et al. Shockwave: useful but potentially dangerous. JACC Cardiovasc Interv, 2019, 12(5): 500-501.
10.	Mont MA, Cherian JJ, Sierra RJ, et al. Nontraumatic osteonecrosis of the femoral head: where do we stand today? A ten-year update. J Bone Joint Surg (Am), 2015, 97(19): 1604-1627.

1. Moya D, Ramón S, Schaden W, et al. The role of extracorporeal shockwave treatment in musculoskeletal disorders. J Bone Joint Surg (Am), 2018, 100(3): 251-263.
2. Zhang Q, Liu L, Sun W, et al. Extracorporeal shockwave therapy in osteonecrosis of femoral head: A systematic review of now available clinical evidences. Medicine (Baltimore), 2017, 96(4): e5897.
3. Lee YJ, Cui Q, Koo KH. Is There a role of pharmacological treatments in the prevention or treatment of osteonecrosis of the femoral head?: a systematic review. J Bone Metab, 2019, 26(1): 13-18.
4. Császár NB, Angstman NB, Milz S, et al. Radial shock wave devices generate cavitation. PLoS One, 2015, 10(10): e0140541.
5. Wang CJ, Huang CC, Yip HK, et al. Dosage effects of extracorporeal shockwave therapy in early hip necrosis. Int J Surg, 2016, 35: 179-186.
6. Gao F, Sun W, Li Z, et al. High-energy extracorporeal shock wave for early stage osteonecrosis of the femoral head: a single-center case series. Evid Based Complement Alternat Med, 2015, 2015: 468090.
7. International Society for Medical Shockwave Treatment. Consensus statement on ESWT indications and contraindications. https://www.shockwavetherapy.org/ fileadmin/user_upload/dokumente/PDFs/Formulare/ISMST_consensus_statement_on_indications_and_contraindications_20161012_final.pdf. Accessed 2017 Nov 6.
8. Wang CJ, Wang FS, Huang CC, et al. Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg (Am), 2005, 87(11): 2380-2387.
9. López-Lluva MT, Jurado-Román A, Sánchez-Pérez I, et al. Shockwave: useful but potentially dangerous. JACC Cardiovasc Interv, 2019, 12(5): 500-501.
10. Mont MA, Cherian JJ, Sierra RJ, et al. Nontraumatic osteonecrosis of the femoral head: where do we stand today? A ten-year update. J Bone Joint Surg (Am), 2015, 97(19): 1604-1627.

Next Article
Clinical study of recombinant human erythropoietin combined with iron to correct perioperative anemia in elderly patients with intertrochanteric fractures

Chinese Journal of Reparative and Reconstructive Surgery

Extracorporeal shockwave therapy for osteonecrosis of femoral head: traps and challenges

Abstract Full text Figures/Tables Video References Cited by

Next Article

Format

Content