Functional outcomes of bilateral hip necrosis: Total hip arthroplasty versus extracorporeal shockwave

June Ming Chen; Shan Ling Hsu; To Wong; Wen Yi Chou; Ching Jen Wang; Feng Sheng Wang

doi:10.1007/s00402-008-0812-6

Functional outcomes of bilateral hip necrosis: Total hip arthroplasty versus extracorporeal shockwave

June Ming Chen, Shan Ling Hsu, To Wong, Wen Yi Chou, Ching Jen Wang^*, Feng Sheng Wang

^*Corresponding author for this work

School of Medicine

Chang Gung University

Research output: Contribution to journal › Journal Article › peer-review

35 Scopus citations

Abstract

Introduction: This study compared the functional outcomes of total hip (THA) in one and shockwave (ESWT) in the other in 17 patients with bilateral hip necrosis. Method: In THA side, only one type of prosthesis was used and all components were press fixed. In ESWT side, each hip received 6,000 impulses of shockwave at 28 kv. Results: The evaluations included pain score and Harris hip score, radiographs and MR images. The magnitudes of improvement in pain and function favored the ESWT side. Thirteen patients rated ESWT better than THA; four patients reported comparable results between THA and ESWT, and none graded THA better than ESWT. Better functional outcomes were observed after ESWT for early hip necrosis than THA for late cases in patients with bilateral hip disease.

Original language	English
Pages (from-to)	837-841
Number of pages	5
Journal	Archives of Orthopaedic and Trauma Surgery
Volume	129
Issue number	6
DOIs	https://doi.org/10.1007/s00402-008-0812-6
State	Published - 2009

Keywords

Extracorporeal shockwave
Functional outcome
Hip
Osteonecrosis
Total hip arthroplasty

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10.1007/s00402-008-0812-6

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title = "Functional outcomes of bilateral hip necrosis: Total hip arthroplasty versus extracorporeal shockwave",

abstract = "Introduction: This study compared the functional outcomes of total hip (THA) in one and shockwave (ESWT) in the other in 17 patients with bilateral hip necrosis. Method: In THA side, only one type of prosthesis was used and all components were press fixed. In ESWT side, each hip received 6,000 impulses of shockwave at 28 kv. Results: The evaluations included pain score and Harris hip score, radiographs and MR images. The magnitudes of improvement in pain and function favored the ESWT side. Thirteen patients rated ESWT better than THA; four patients reported comparable results between THA and ESWT, and none graded THA better than ESWT. Better functional outcomes were observed after ESWT for early hip necrosis than THA for late cases in patients with bilateral hip disease.",

keywords = "Extracorporeal shockwave, Functional outcome, Hip, Osteonecrosis, Total hip arthroplasty",

author = "Chen, {June Ming} and Hsu, {Shan Ling} and To Wong and Chou, {Wen Yi} and Wang, {Ching Jen} and Wang, {Feng Sheng}",

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T1 - Functional outcomes of bilateral hip necrosis

T2 - Total hip arthroplasty versus extracorporeal shockwave

AU - Chen, June Ming

AU - Hsu, Shan Ling

AU - Wong, To

AU - Chou, Wen Yi

AU - Wang, Ching Jen

AU - Wang, Feng Sheng

PY - 2009

Y1 - 2009

N2 - Introduction: This study compared the functional outcomes of total hip (THA) in one and shockwave (ESWT) in the other in 17 patients with bilateral hip necrosis. Method: In THA side, only one type of prosthesis was used and all components were press fixed. In ESWT side, each hip received 6,000 impulses of shockwave at 28 kv. Results: The evaluations included pain score and Harris hip score, radiographs and MR images. The magnitudes of improvement in pain and function favored the ESWT side. Thirteen patients rated ESWT better than THA; four patients reported comparable results between THA and ESWT, and none graded THA better than ESWT. Better functional outcomes were observed after ESWT for early hip necrosis than THA for late cases in patients with bilateral hip disease.

AB - Introduction: This study compared the functional outcomes of total hip (THA) in one and shockwave (ESWT) in the other in 17 patients with bilateral hip necrosis. Method: In THA side, only one type of prosthesis was used and all components were press fixed. In ESWT side, each hip received 6,000 impulses of shockwave at 28 kv. Results: The evaluations included pain score and Harris hip score, radiographs and MR images. The magnitudes of improvement in pain and function favored the ESWT side. Thirteen patients rated ESWT better than THA; four patients reported comparable results between THA and ESWT, and none graded THA better than ESWT. Better functional outcomes were observed after ESWT for early hip necrosis than THA for late cases in patients with bilateral hip disease.

KW - Extracorporeal shockwave

KW - Functional outcome

KW - Hip

KW - Osteonecrosis

KW - Total hip arthroplasty

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Functional outcomes of bilateral hip necrosis: Total hip arthroplasty versus extracorporeal shockwave

Abstract

Keywords

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