Extracorporeal shock wave therapy in treating ischial non-union following Bernese periacetabular osteotomy:A case report  

作　　者：Jun Yan Jun-Yu Zhu Fei-Fei Zhao Jian Xiao Hao Li Ming-Xin Wang Jing Guo Liang Cui Geng-Yan Xing 

机构地区：[1]Department of Orthopedics,The Third Medical Center of Chinese People's Liberation Army General Hospital,Beijing 100039,China [2]Department of Orthopaedic,Anhui Medical University,Hefei 230032,Anhui Province,China [3]Department of Orthopedics,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,Hebei Province,China [4]Department of Orthopedics,The Fourth Medical Center of Chinese People’s Liberation Army General Hospital,Beijing 100039,China [5]Department of Orthopaedic,The Third Medical Center of Chinese People’s Liberation Army General Hospital,The Armed Police Clinical College,Anhui Medical University,Hefei 230022,Anhui Province,China

出　　处：《World Journal of Orthopedics》2024年第10期991-996,共6页世界骨科杂志（英文）

摘　　要：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.

关 键 词：Ischial non-union Extracorporeal shock wave therapy NON-UNION Bernese periacetabular osteotomy Case report 

分 类 号：R687.3[医药卫生—骨科学]