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Archives of Orthopaedic and Trauma Surgery

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01.06.2009 | Orthopaedic Outcome Assessment

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

verfasst von: June-Ming Chen, Shan-Ling Hsu, To Wong, Wen-Yi Chou, Ching-Jen Wang, Feng-Sheng Wang

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 6/2009

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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.

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Titel: Functional outcomes of bilateral hip necrosis: total hip arthroplasty versus extracorporeal shockwave
verfasst von: June-Ming Chen
Shan-Ling Hsu
To Wong
Wen-Yi Chou
Ching-Jen Wang
Feng-Sheng Wang
Publikationsdatum: 01.06.2009
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 6/2009
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-008-0812-6

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