Abstract：
PURPOSE:Extracorporeal shockwave therapy (ESWT) has become a common practice for treating knee osteoarthritis (OA). However, the effectiveness and safety of this treatment are still questionable. This meta-analysis is aimed at determining the degree of pain reduction and functional outcome after ESWT for knee OA. METHODS:We systematically searched MEDLINE, EMBASE, and other online databases. The articles comparing the outcomes between ESWT and controls were included in the analysis. RESULTS:Nine studies with 705 patients were included. The pooled data revealed significantly lower pain scores in the ESWT groups than in the control groups within two weeks of treatment and six months after treatment (visual analogue scale, - 1.59, p = 0.0003, 95% confidence interval (CI) - 2.45 to - 0.72 at 2 weeks; - 1.12, p = 0.005, 95% CI - 1.89 to - 0.34 at 6 months). The ESWT group also had better functional outcomes four to six weeks post treatment (Western Ontario and McMaster Universities Osteoarthritis Index, - 11.96, p = 0.003, 95% CI - 19.76 to - 4.15). No rebound pain was noted for up to 12 months. CONCLUSION:Using ESWT to treat knee OA may reduce pain and improve functional outcomes. The effect may last six months to one year. More prospective studies are needed to investigate the settings for ESWT to optimize treatment results.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Hsieh CK,Chang CJ,Liu ZW,Tai TWdoi
10.1007/s00264-020-04489-xsubject
Has Abstractpub_date
2020-05-01 00:00:00pages
877-884issue
5eissn
0341-2695issn
1432-5195pii
10.1007/s00264-020-04489-xjournal_volume
44pub_type
杂志文章,评审abstract：:We measured the size and volume of the femoral broaches and stems supplied with three commercial total hip replacement (THR) systems (JRI Furlong, Biomet Stanmore, and Howmedica Exeter). Using an in vitro method, we created cement mantles that could be directly measured. The broaches supplied with the Biomet Stanmore ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-003-0509-y
更新日期：2004-02-01 00:00:00
abstract：PURPOSE:The study aims to analyze the incidence of 30-day mortality in elderly patients who underwent surgery for hip fractures and its associated factors. METHODS:A prospective multicentric study was performed. All patients aged ≥ 65 years, with fragility hip fractures, consecutively admitted in two Italian hospitals...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4057-x
更新日期：2019-02-01 00:00:00
abstract：:We report the outcome of 50 patients with degenerative lumbar spinal stenosis who were treated surgically by spinal decompression between 1984 and 1995. Their mean age at the time of surgery was 59.9 (45-77) years and the mean follow-up was 11.6 (6.1-17.2) years. Five patients had a concomitant spinal fusion. The preo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0030-6
更新日期：2006-02-01 00:00:00
abstract：:The Mennen plate has been used for osteosynthesis of 5 femoral fractures, 4 of which were at the tip of a prosthesis stem. Union was achieved in 2 fractures, and loss of fixation of the plate in three. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050234
更新日期：1998-01-01 00:00:00
abstract：:The healing of flexor tendons was studied in chickens using transmission electron microscopy. After resecting the flexor sheath between the proximal and distal pulleys in zone II, the profundus tendon was severed and sutured. Intermittent passive motion was carried out 35 times daily immediately afterwards. The chicke...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00189620
更新日期：1992-01-01 00:00:00
abstract：:Osteonecrosis of the femoral head (ONFH) is a significant cause of both pain and disability that often affects young adults during what ought to be their most productive age. Two broad categories of ONFH exist: traumatic and non-traumatic. Traumatic ONFH results from acute mechanical disruption of the femoral head's b...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-018-3956-1
更新日期：2018-07-01 00:00:00
abstract：:The aim of this prospective study was to measure bone density changes and to assess adaptive bone remodelling after uncemented total hip arthroplasty with a taper-design femoral component using quantitative computer-tomography-assisted osteodensitometry. This method is able to differentiate cortical and cancellous bon...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0389-7
更新日期：2008-10-01 00:00:00
abstract：PURPOSE:Treatment of open fractures is complex and controversial. The purpose of the present study is to add evidence to the management of open tibial fractures, where tissue loss necessitates cover with a free flap. We identified factors that increase the risk of complications. We questioned whether early flap coverag...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2712-z
更新日期：2015-06-01 00:00:00
abstract：:We carried out a retrospective review of 32 consecutive patients (30 adults and two children) with total or partial lesions of the brachial plexus who had surgical repair using nerve grafting, neurotisation, and neurolysis between January 1991 and December 2003. The outcome measures of muscular strength were correlate...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0017-3
更新日期：2005-12-01 00:00:00
abstract：PURPOSE:The purpose of this study was to evaluate the impact of a preoperative myocardial infarction (MI) on outcomes of inpatient orthopaedic operations. METHODS:The National Surgical Quality Improvement Program database was used to identify patients who underwent common orthopaedic operations from 2006 to 2010. Pati...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-2001-7
更新日期：2013-12-01 00:00:00
abstract：:A patient is reported who had multiple cartilaginous exostoses with malignant transformation of a pelvic osteochondroma. ...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s002640050136
更新日期：1997-01-01 00:00:00
abstract：:Septic and aseptic loosening with or without extensive bone loss after total knee replacement are the most common indications for knee fusion. Both external fixation and intramedullary nailing can be used for the treatment, though the latter appears to be the method of choice for most patients. Nine patients were trea...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-006-0129-4
更新日期：2006-12-01 00:00:00
abstract：INTRODUCTION:The aim of this study was to determine whether an above-elbow cast (AEC) is better than a below-elbow cast (BEC) at maintaining the initial reduction in the orthopaedic management of a distal radius fracture (DRF). METHODS:It is a prospective randomized study carried out in a single emergency trauma depar...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-017-3518-y
更新日期：2017-09-01 00:00:00
abstract：PURPOSE:The aim of the present study was to compare the daily activity and functionality in a patient cohort 12 months after total hip arthroplasty (THA) using a direct anterior approach with a healthy non-operated control population. METHODS:Sixty-four patients who underwent THA and 59 healthy individuals (control) w...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3541-z
更新日期：2018-02-01 00:00:00
abstract：PURPOSE:Approximately 5% of patients with spinal tuberculosis will develop a severe kyphotic deformity resulting in increased potential for pain, spinal cord compression, cardiopulmonary dysfunction, costopelvic impingement and cosmetic concerns. This manuscript reviews the evaluation and surgical management of tubercu...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-011-1292-9
更新日期：2012-02-01 00:00:00
abstract：:Forty-five patients with Paget's disease were studied, of whom 25 had fissure fractures affecting the bones of the lower limb. Ten patients treated with salmon calcitonin showed no improvement in their fissure fractures despite reduction in bone turnover. Treatment was effective where bone deformity was improved by tr...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00267839
更新日期：1981-01-01 00:00:00
abstract：PURPOSE:The aim of this study was to compare total knee arthroplasty (TKA) procedures between different countries with regard to epidemiological data and surgical technique by reference to the worldwide arthroplasty registers. METHODS:A systematic search was carried out using the EFORT website to identify the relevant...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1933-2
更新日期：2013-08-01 00:00:00
abstract：:We have undertaken a meta-analysis of the English literature, to assess the component alignment outcomes after imageless computer assisted (CAOS) total knee arthroplasty (TKA) versus conventional TKA. We reviewed 23 publications that met the inclusion criteria. Results were summarised via a Bayesian hierarchical rando...
journal_title：International orthopaedics
pub_type： 杂志文章,meta分析
doi：10.1007/s00264-010-1008-6
更新日期：2011-03-01 00:00:00
abstract：:Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：:Two matched groups of 28 patients each, with femoral neck fractures treated by primary internal fixation or by secondary total hip replacement after a complication of primary treatment, were evaluated and compared five years or more after primary pin fixation or secondary total hip replacement. The Nottingham Health P...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00186868
更新日期：1991-01-01 00:00:00
abstract：PURPOSE:The purpose of this study was to identify risk factors for the development of infection after open fracture fixation. METHODS:A comprehensive search in all scientific literature of the last 30 years was performed in order to identify patient-, trauma-, diagnosis- and treatment-related risk factors. Studies wer...
journal_title：International orthopaedics
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00264-017-3556-5
更新日期：2017-10-01 00:00:00
abstract：:Periprosthetic fractures of the acetabulum represent a rare incident in primary and revision total hip arthroplasty. The management of these fractures can be challenging. At present, there are no reliable guidelines for the treatment of periprosthetic acetabular fractures. Periprosthetic acetabular fractures can occur...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-015-2968-3
更新日期：2015-10-01 00:00:00
abstract：PURPOSE:We reviewed data to determine outcomes for 21 consecutive Vancouver type B1 or type C periprosthetic fractures that we treated between 2001 and 2008 using a nickel-titanium shape-memory sawtooth-arm embracing fixator. METHODS:The study participants were 12 men and 9 women (mean age, 70.8 years; range, 42-85 ye...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1325-4
更新日期：2012-03-01 00:00:00
abstract：:Uncemented, threaded acetabular components with smooth surface treatment were widely used in continental Europe in the 1970s and 1980s for primary total hip arthroplasty (THA). Previously published studies showed high failure rates in the mid-term. In a consecutive series of 116 patients, 127 threaded cups with smooth...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0844-8
更新日期：2010-10-01 00:00:00
abstract：PURPOSE:The prevalence of joint hypermobility (JH) in patients with femoroacetabular impingement (FAI) and its association with outcomes is yet widely unknown. This study aimed to validate a self-reported version of the Beighton score for FAI patients, and to determine possible associations between JH and clinical and ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2424-9
更新日期：2014-11-01 00:00:00
abstract：PURPOSE:Leg-length changes at total hip arthroplasty (THA) may result from too proximal position of the femoral component, i.e. not being sunk deep enough into the femoral canal due to the size and shape of both medullary canal and implant. Some femoral implants are designed to achieve such fixation in the mediolateral...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-020-04671-1
更新日期：2020-06-22 00:00:00
abstract：PURPOSE:Several studies have investigated effectiveness of fibrin spray or bipolar sealer to control peri-operative bleeding and reduce the need for blood transfusion, but a direct comparison between the two methods has not been previously performed. We conducted a prospective randomised trial, with standard electrocau...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-013-1903-8
更新日期：2013-07-01 00:00:00
abstract：PURPOSE:To evaluate the effects of rotator cuff tear (RCT) and its severity on shoulder proprioception. METHODS:We studied 132 consecutive patients (67 M-65 F; mean age ± SD, 66.03 ± 9.04; range, 43-78) who underwent arthroscopic rotator cuff repair. Tear size was determined intra-operatively. The control group includ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4150-1
更新日期：2019-01-01 00:00:00
abstract：:A distinction must be drawn between the older constrained prostheses, in which load was transferred via metal-coated hinges, and later models using the low-friction principle, where the axle is not load bearing. The latter show good long-term results. The greater stability of constrained prosthesis allows earlier and ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：PURPOSE:Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and pres...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-013-2143-7
更新日期：2014-04-01 00:00:00
