26 Cases Report of Fenestration and Bone Grafting of Femoral Head and Neck Combined with Extracorporeal Shock Wave for Early Osteonecrosis of the Femoral Head
Objective:To explore the clinical efficacy of fenestration and bone grafting of femoral head and neck combined with extracorporeal shock wave for early osteonecrosis of the femoral head.Methods:We reviewed the clinical data of pa-tients with osteonecrosis of the femoral head from January 2018 to December 2021.We recorded the patient's visual ana-logue scale(VAS)scores and Harris scores and X-ray results.Results:A total of 46 patients were included in this study.26 patients received fenestration and bone grafting of femoral head and neck combined with high focus extracorporeal shock wave therapy,and 20 patients received simple bone grafting treatment.After 6 and 12 months of treatment,the VAS scores,Harris scores,and X-ray scores of the hip joint in the group treated with bone grafting combined with extracorpo-real shock wave therapy were better than those in the group with bone grafting alone,and the differences were statistically significant(P＜0.05).Conclusion:Femoral head and neck window compression and bone grafting combined with extracor-poreal shock wave therapy can alleviate pain symptoms and improve hip function in patients with early femoral head necro-sis.Bone grafting combined with extracorporeal shock wave therapy could alleviate pain symptoms and improve hip func-tion in patients with early osteonecrosis of the femoral head.Extracorporeal shock wave could promote the integration of implanted bone granules with host bone and improve the success rate of femoral head preservation treatment.
osteonecrosis of the femoral headextracorporeal shock wave therapyimpaction bone graftingvisual ana-logue scale score
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