Yan J, Zhu JY, Zhao FF, Xiao J, Li H, Wang MX, Guo J, Cui L, Xing GY. Extracorporeal shock wave therapy in treating ischial non-union following Bernese periacetabular osteotomy: A case report. World J Orthop 2024; 15(10): 991-996 [DOI: 10.5312/wjo.v15.i10.991]
Corresponding Author of This Article
Geng-Yan Xing, MD, PhD, Additional Professor, Doctor, Department of Orthopaedic, The Third Medical Center of Chinese People’s Liberation Army General Hospital, The Armed Police Clinical College, Anhui Medical University, No. 81 Meishan Road, Hefei 230022, Anhui Province, China. xgy1550138@163.com
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jun Yan, Jian Xiao, Hao Li, Jing Guo, Liang Cui, Department of Orthopedics, The Third Medical Center of Chinese People's Liberation Army General Hospital, Beijing 100039, China
Jun-Yu Zhu, Department of Orthopaedic, Anhui Medical University, Hefei 230032, Anhui Province, China
Fei-Fei Zhao, Department of Orthopedics, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, Hebei Province, China
Ming-Xin Wang, Department of Orthopedics, The Fourth Medical Center of Chinese People’s Liberation Army General Hospital, Beijing 100039, China
Geng-Yan Xing, 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
Co-corresponding authors: Jun-Yu Zhu and Geng-Yan Xing.
Author contributions: Xing GY and Yan J conceived the designed the study; Zhao FF, Xiao J, Li H, Wang MX, Guo J, and Cui L performed the research and analyzed the data; Zhu JY wrote the paper; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Geng-Yan Xing, MD, PhD, Additional Professor, Doctor, Department of Orthopaedic, The Third Medical Center of Chinese People’s Liberation Army General Hospital, The Armed Police Clinical College, Anhui Medical University, No. 81 Meishan Road, Hefei 230022, Anhui Province, China. xgy1550138@163.com
Received: May 25, 2024 Revised: August 21, 2024 Accepted: September 2, 2024 Published online: October 18, 2024 Processing time: 140 Days and 0.9 Hours
Abstract
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.
Core Tip: Non-union following periacetabular osteotomy is a postoperative complication that is challenging to resolve through conservative treatment alone and typically necessitates surgical intervention for effective management. A personalized extracorporeal shock wave therapy regimen can help us address this challenge effectively.
