Abstract:
:Up to now, there is no uniformly accepted treatment for avascular necrosis (AN) that alleviates pain and retards its progression. The aim of clinical and surgical treatments is usually only to improve blood support in the avascular area. The objective of the present study was to make a systematic review of the use of bisphosphonates in the treatment of AN. Studies in which bisphosphonate was used for the treatment of AN were researched through the MEDLINE databases (from 1966 to 2007) and the Cochrane Central Register of Controlled Trials and using the following terms: "avascular necrosis," "aseptic necrosis," "bisphosphonates," "alendronate," "pamidronate," "zoledronate," and "risedronate". Only seven articles that met the previously established criteria were obtained from MEDLINE, and none were obtained from the Cochrane Central Register of Controlled Trials. Of these seven articles, two were randomized clinical trials and five were prospective comparative studies; one of them corresponded to an extension of a previous study. The present review demonstrates that there are no controlled and double-blind studies about the efficacy of bisphosphonates in the treatment of AN. Therefore, the data are still insufficient for justifying its use for this indication. On the other hand, noncontrolled studies appear to demonstrate favorable results, particularly in diminishing pain, improving mobility, and lowering the incidence of articular collapse, which justifies new studies being developed in this area.
journal_name
Clin Rheumatoljournal_title
Clinical rheumatologyauthors
Cardozo JB,Andrade DM,Santiago MBdoi
10.1007/s10067-008-0861-9subject
Has Abstractpub_date
2008-06-01 00:00:00pages
685-8issue
6eissn
0770-3198issn
1434-9949journal_volume
27pub_type
杂志文章,评审abstract::The aim of this blinded, randomised, multicentre study was to compare the tolerability of aspirin, paracetamol and ibuprofen in common pain resulting from musculoskeletal conditions (MSC) in general practice with patients with other non-MSC pain conditions. Patients took aspirin, paracetamol (both up to 3g daily) or i...
journal_title:Clinical rheumatology
pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
doi:10.1007/s10067-014-2565-7
更新日期:2015-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10067-007-0831-7
更新日期:2008-06-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2006-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10067-017-3812-5
更新日期:2018-02-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-019-04802-z
更新日期:2020-02-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-017-3658-x
更新日期:2017-09-01 00:00:00
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-006-0260-z
更新日期:2007-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-11-01 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1007/s10067-013-2425-x
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journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/BF02231689
更新日期:1996-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1007/BF02031268
更新日期:1984-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/BF02206665
更新日期:1991-12-01 00:00:00
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更新日期:2018-05-01 00:00:00
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更新日期:2010-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:1996-03-01 00:00:00
abstract::The Revised Fibromyalgia Impact Questionnaire (FIQR) attempts to address the limitations of the Fibromyalgia Impact Questionnaire (FIQ). As there is no Turkish version of the FIQR available, we aimed to investigate the validity and reliability of a Turkish translation of the FIQR in Turkish female fibromyalgia (FM) pa...
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pub_type: 杂志文章
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