scholarly journals Efficacy of extracorporeal shock wave combined spinal core decompression for the treatment of patients with femoral head necrosis

Medicine ◽  
2020 ◽  
Vol 99 (21) ◽  
pp. e20350
Author(s):  
Xiao-feng Qiao ◽  
Shi-chen Liu ◽  
Yu Xue ◽  
Qing-hui Ji
Keyword(s):  
Shock Wave ◽  
Femoral Head ◽  
Core Decompression ◽  
Femoral Head Necrosis ◽  
Extracorporeal Shock Wave

scholarly journals The Top 100 Cited Articles in Osteonecrosis of the Femoral Head: a Bibliometric Analysis

2021 ◽  
Author(s):  
Yumin Zhang ◽  
Yakang Wang ◽  
Juan Chen ◽  
Qianyue Cheng ◽  
Binfei Zhang ◽  
...  
Keyword(s):  
Shock Wave ◽  
Tissue Engineering ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Bibliometric Analysis ◽  
Hip Arthroplasty ◽  
Core Decompression ◽  
Extracorporeal Shock Wave ◽  
The Usa ◽  
China And Japan

Abstract Background: The number of articles of clinical and basic research for osteonecrosis of the femoral head (ONFH) is increasing, to our knowledge, there is still a lack of bibliometric analysis on ONFH articles. The purpose of this study was to identify the top 100 cited (T100) articles related to ONFH research and analyze the characteristics and qualities of these articles.Methods: The T100 articles on ONFH were retrieved from the Web of Science database. The information about each article including citations, titles, authors, journals, countries, institutions, and keywords, was recorded for bibliometric analysis. Results: The T100 articles related to ONFH were mainly published from 1991 to 2010 (n=70), and originated from 24 countries. The USA, China, and Japan were the most productive countries in this regard. The most prolific institution was the University of Pennsylvania from the USA with 6 publications and 742 citations. The most-cited article was published in 1995 by Professor Steinberg ME. The five most frequently occurring keywords were “femoral head”, “osteonecrosis”, “core decompression”, “total hip arthroplasty” and “follow up”. The keywords like "bone tissue engineering" and "extracorporeal shock wave" have emerged in recent years.Conclusions: The USA, China, and Japan contributed greatly in terms of the T100 articles. The outcomes of core decompression and total hip arthroplasty gathered most research interests. In recent years, bone tissue engineering and extracorporeal shock wave have become new trends. However, the mechanism of ONFH is still unclear.

scholarly journals The Effect of Extracorporeal Shock Wave on Osteonecrosis of Femoral Head: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Jin Mei ◽  
Lili Pang ◽  
Yu Gong ◽  
Zhongchao Jiang
Keyword(s):  
Shock Wave ◽  
Femoral Head ◽  
Meta Analysis ◽  
Core Decompression ◽  
Visual Analogue Score ◽  
Harris Hip Score ◽  
Lesion Area ◽  
China National Knowledge Infrastructure ◽  
Osteonecrosis Of Femoral Head ◽  
Extracorporeal Shock Wave

Abstract Background: This study aimed to determine whether ESWT (extracorporeal shock wave therapy) has an efficient effect on ONFH (osteonecrosis of femoral head) in clinical outcomes and radiography outcomes.Method: Two authors independently searched the papers on the treatment of femoral head necrosis with extracorporeal shock wave in CNKI (China National Knowledge Infrastructure), VIP (China Science and Technology Journal Database), CSPD (China Science Periodical Database) , Pubmed, Embase and Springer databases. Search period from the inception dates to June 2, 2020 and have no limitations in language; Two authors independently conducted Quality evaluation and data extraction for included studies and preformed a meta-analysis with data extracted and calculated by using review manager 5.3.Result: Nine articles with 409 patients were included in this meta-analysis. The pooled results of HHS (Harris hip score) in eight studies with 337 hips show that ESWT achieved higher Harris scores compared to before treatment (MD= -19.95;95% CI: -26.27, -13.64;). The differences were statistically significant (p<0.01). The pooled results of VAS (visual analogue score) in seven studies with 253 hips show that ESWT achieved lower VAS compared to baseline (MD= 2.77;95%CI: 1.88, 3.65;), the differences were statistically significant (p<0.01). the pooled results of lesion of MRI with 164 hips show that ESWT decrease the lesion area of MRI (SMD=1.03,CI: 0.75,1.30,),the differences were statistically significant (p<0.01).Conclusion: ESWT have an effect in pain relief and can improve motion function. It's effect better than surgical groups (core decompression and core decompression with bone grafting). But it may not decrease the lesion area of the femoral head on MRI.

scholarly journals The Top 100 Cited Articles in Osteonecrosis of the Femoral Head: A Bibliometric Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Yumin Zhang ◽  
Yakang Wang ◽  
Juan Chen ◽  
Qianyue Cheng ◽  
Binfei Zhang ◽  
...  
Keyword(s):  
Shock Wave ◽  
Tissue Engineering ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Bibliometric Analysis ◽  
Hip Arthroplasty ◽  
Core Decompression ◽  
Extracorporeal Shock Wave ◽  
The Usa ◽  
China And Japan

Background. The number of articles of clinical and basic research for osteonecrosis of the femoral head (ONFH) is increasing, yet, to our knowledge, there is still a lack of bibliometric analysis on ONFH articles. The purpose of this study was to identify the top 100 cited (T100) articles related to ONFH research and to analyze the characteristics and qualities of these articles. Methods. The T100 articles on ONFH were retrieved from the Web of Science database. The information about each article including citations, titles, authors, journals, countries, institutions, and keywords was recorded for bibliometric analysis. Results. The T100 articles related to ONFH were mainly published from 1991 to 2010 ( n = 70 ) and were originated from 24 countries. The USA, China, and Japan were the most productive countries in this regard. The most prolific institution was the University of Pennsylvania from the USA with 6 publications and 742 citations. The most cited article was published in 1995 by Professor Steinberg ME. The five most frequently occurring keywords were “femoral head,” “osteonecrosis,” “core decompression,” “total hip arthroplasty,” and “follow up.” The keywords like “bone tissue engineering” and “extracorporeal shock wave” have emerged in recent years. Conclusions. The USA, China, and Japan contributed greatly in terms of the T100 articles. The outcomes of core decompression and total hip arthroplasty gathered the most research interests. In recent years, bone tissue engineering and extracorporeal shock wave have become new trends. However, the mechanism of ONFH is still unclear.

scholarly journals High-energy extracorporeal shock wave therapy for early stage femoral head osteonecrosis

Medicine ◽  
2020 ◽  
Vol 99 (31) ◽  
pp. e21300
Author(s):  
Qing-hui Ji ◽  
Shi-chen Liu ◽  
Jie Miao ◽  
Zhi-xin Ren ◽  
Yu-fei Yuan ◽  
...  
Keyword(s):  
Shock Wave ◽  
Femoral Head ◽  
Early Stage ◽  
Extracorporeal Shock Wave Therapy ◽  
High Energy ◽  
Shock Wave Therapy ◽  
Extracorporeal Shock Wave ◽  
Femoral Head Osteonecrosis

scholarly journals The efficacy and safety of core decompression for the treatment of femoral head necrosis: a systematic review and meta-analysis

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Kun-chi Hua ◽  
Xiong-gang Yang ◽  
Jiang-tao Feng ◽  
Feng Wang ◽  
Li Yang ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Femoral Head ◽  
Radiographic Progression ◽  
Meta Analysis ◽  
Core Decompression ◽  
Femoral Head Necrosis ◽  
Significant Difference ◽  
Autologous Bone ◽  
Necrosis Of Femoral Head ◽  
Rate Of Success

Abstract Background Core decompression (CD) is an important method for the treatment of osteonecrosis of the femoral head (ONFH). Few articles investigate the influence of core decompression on outcomes of ONFH. This study was carried out to observe the safety and effectiveness of core decompression in the treatment of ONFH. Methods A comprehensive literature search of databases including PubMed, Embase, and Cochrane Library was performed to collect the related studies. The medical subject headings used were “femur head necrosis” and “Core decompression.” The relevant words in title or abstract included but not limited to “Osteonecrosis of the Femoral Head,” “femoral head necrosis,” “avascular necrosis of femoral head,” and “ischemic necrosis of femoral head.” The methodological index for nonrandomized studies was adopted for assessing the studies included in this review. Results Thirty-two studies included 1865 patients (2441 hips). Twenty-one studies (1301 hips) using Ficat staging standard, 7 studies (338hips) using Association Research Circulation Osseous (ARCO) staging standard, and University of Pennsylvania system for staging avascular necrosis (UPSS) staging criteria for 4 studies (802 hips). All the studies recorded the treatment, 22 studies (1379 hips) were treated with core decompression (CD) alone, and 7 studies (565 hips) were treated with core decompression combined with autologous bone (CD Autologous bone). Nine subjects (497 hips) were treated with core decompression combined with autologous bone marrow (CD Marrow). Twenty-seven studies (2120 hips) documented the number of conversion to total hip replacement (THA), and 26 studies (1752hips) documented the number of radiographic progression (RP). Twenty-one studies recorded the types of complications and the number of cases, a total of 69 cases. The random-effect model was used for meta-analysis, and the results showed that the overall success rate was 65%. The rate of success showed significant difference on the outcomes of different stages. The rate of success, conversion to THA, and radiographic progression showed significant difference on the outcomes of ONFH using different treatments. Conclusions Core decompression is an effective and safe method of treating ONFH. The combined use of autologous bone or bone marrow can increase the success rate. For advanced femoral head necrosis, the use of CD should be cautious. High-quality randomized controlled trials and prospective studies will be necessary to clarify the effects of different etiology factors, treatments, and postoperative rehabilitation. Until then, the surgeon can choose core decompression to treat ONFH depending on the patient’s condition. Level of evidence I Meta-analysis

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