Document Detail

Functional outcomes of bilateral hip necrosis: total hip arthroplasty versus extracorporeal shockwave.
MedLine Citation:
PMID:  19165494     Owner:  NLM     Status:  MEDLINE    
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.
June-Ming Chen; Shan-Ling Hsu; To Wong; Wen-Yi Chou; Ching-Jen Wang; Feng-Sheng Wang
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-01-23
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  129     ISSN:  1434-3916     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-04-22     Completed Date:  2009-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  837-41     Citation Subset:  IM    
Department of Orthopedic Surgery, Chang Gung University College of Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Niao-Sung Hsiang, Kaohsiung, Taiwan.
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MeSH Terms
Arthroplasty, Replacement, Hip*
Femur Head Necrosis / diagnosis,  surgery*
Follow-Up Studies
High-Energy Shock Waves / therapeutic use*
Magnetic Resonance Imaging
Middle Aged
Pain Measurement
Postoperative Complications / diagnosis
Range of Motion, Articular / physiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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