{"title":"体外冲击波疗法治疗伯尔尼髋臼周围截骨术后的峡部不愈合：病例报告。","authors":"Jun Yan, Jun-Yu Zhu, Fei-Fei Zhao, Jian Xiao, Hao Li, Ming-Xin Wang, Jing Guo, Liang Cui, Geng-Yan Xing","doi":"10.5312/wjo.v15.i10.991","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Extracorporeal shock wave therapy (ESWT) is increasingly being recognized as an advantageous alternative for treating non-union due to its efficacy and minimal associated complications. Non-union following Bernese periacetabular osteotomy (PAO) is particularly challenging, with a reported 55% delayed union and 8% non-union. Herein, we highlight a unique case of ischial non-union post-PAO treated successfully with a structured ESWT regimen.</p><p><strong>Case summary: </strong>A 50-year-old patient, diagnosed with left ischial non-union following the PAO, underwent six cycles of ESWT treatment across ten months. Each cycle, spaced four weeks apart, consisted of five consecutive ESWT sessions without anesthesia. Regular X-ray follow-ups showed progressive disappearance of the fracture line and fracture union. The patient ultimately achieved a satisfactory asymptomatic recovery and bone union.</p><p><strong>Conclusion: </strong>The results from this case suggest that this ESWT regimen can be a promising non-invasive treatment strategy for non-union following PAO.</p>","PeriodicalId":47843,"journal":{"name":"World Journal of Orthopedics","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514549/pdf/","citationCount":"0","resultStr":"{\"title\":\"Extracorporeal shock wave therapy in treating ischial non-union following Bernese periacetabular osteotomy: A case report.\",\"authors\":\"Jun Yan, Jun-Yu Zhu, Fei-Fei Zhao, Jian Xiao, Hao Li, Ming-Xin Wang, Jing Guo, Liang Cui, Geng-Yan Xing\",\"doi\":\"10.5312/wjo.v15.i10.991\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Extracorporeal shock wave therapy (ESWT) is increasingly being recognized as an advantageous alternative for treating non-union due to its efficacy and minimal associated complications. Non-union following Bernese periacetabular osteotomy (PAO) is particularly challenging, with a reported 55% delayed union and 8% non-union. Herein, we highlight a unique case of ischial non-union post-PAO treated successfully with a structured ESWT regimen.</p><p><strong>Case summary: </strong>A 50-year-old patient, diagnosed with left ischial non-union following the PAO, underwent six cycles of ESWT treatment across ten months. Each cycle, spaced four weeks apart, consisted of five consecutive ESWT sessions without anesthesia. Regular X-ray follow-ups showed progressive disappearance of the fracture line and fracture union. The patient ultimately achieved a satisfactory asymptomatic recovery and bone union.</p><p><strong>Conclusion: </strong>The results from this case suggest that this ESWT regimen can be a promising non-invasive treatment strategy for non-union following PAO.</p>\",\"PeriodicalId\":47843,\"journal\":{\"name\":\"World Journal of Orthopedics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-10-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514549/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World Journal of Orthopedics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5312/wjo.v15.i10.991\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Orthopedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5312/wjo.v15.i10.991","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
背景：体外冲击波疗法（ESWT）因其疗效显著且相关并发症极少而被越来越多的人认为是治疗骨不连的有利选择。伯尔尼髋臼周围截骨术（PAO）后的不愈合尤其具有挑战性，据报道有55%的延迟愈合和8%的不愈合。病例摘要：一名 50 岁的患者被诊断为 PAO 术后左侧峡部不愈合，在 10 个月内接受了 6 个周期的 ESWT 治疗。每个周期间隔四周，包括连续五次 ESWT 治疗，无需麻醉。定期的 X 光随访显示，骨折线逐渐消失，骨折愈合。患者最终获得了令人满意的无症状恢复和骨结合：本病例的结果表明，ESWT疗法是治疗PAO后骨不连的一种很有前景的非侵入性治疗策略。
Extracorporeal shock wave therapy in treating ischial non-union following Bernese periacetabular osteotomy: A case report.
Background: Extracorporeal shock wave therapy (ESWT) is increasingly being recognized as an advantageous alternative for treating non-union due to its efficacy and minimal associated complications. Non-union following Bernese periacetabular osteotomy (PAO) is particularly challenging, with a reported 55% delayed union and 8% non-union. Herein, we highlight a unique case of ischial non-union post-PAO treated successfully with a structured ESWT regimen.
Case summary: A 50-year-old patient, diagnosed with left ischial non-union following the PAO, underwent six cycles of ESWT treatment across ten months. Each cycle, spaced four weeks apart, consisted of five consecutive ESWT sessions without anesthesia. Regular X-ray follow-ups showed progressive disappearance of the fracture line and fracture union. The patient ultimately achieved a satisfactory asymptomatic recovery and bone union.
Conclusion: The results from this case suggest that this ESWT regimen can be a promising non-invasive treatment strategy for non-union following PAO.
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