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

Figure 1 Schematic representation of pre-periacetabular osteotomy and post-periacetabular osteotomy, pre-extracorporeal shock wave therapy and post-extracorporeal shock wave therapy, and the extracorporeal shock wave therapy healing process. A: Pre-periacetabular osteotomy (PAO); B: Post-PAO; C: Pre-extracorporeal shock wave therapy (ESWT); D: Two months (2 cycles) post-ESWT; E: Four months (4 cycles) post-ESWT; F: Six months (6 cycles) post-ESWT; G: Sixteen months post-ESWT; H: Schematic of ESWT-induced healing. ESWT: Extracorporeal shock wave therapy.

Figure 2 The treatment of non-union of periacetabular osteotomy with extracorporeal shock wave therapy. A and B: Images of the shockwave device and console; C: X-ray-guided extracorporeal shock wave therapy positioning for non-union; D: The patient's treatment course, which was conducted without the use of anesthesia.