Effectiveness of Extracorporeal Shock Wave Monotherapy for Avascular Necrosis of Femoral Head: A Systematic Review Protocol of Randomized Controlled Trial

Overview

Journal Medicine (Baltimore)

Specialty General Medicine

Date 2019 Apr 5

PMID 30946383

Citations 3

Authors

Hua-Yu Tang

Yu Zhao

Yu-Zhi Li

Tian-Shu Wang

Affiliations

Soon will be listed here.

Abstract

Background: Previous clinical studies have reported that extracorporeal shock wave (EPSW) monotherapy can effectively treat avascular necrosis of femoral head (ANFH). However, no systematic review has been conducted to assess its effectiveness and safety for patients with ANFH. Therefore, this study will systematically assess the effectiveness and safety of EPSW monotherapy for patients with ANFH.

Methods: In this study, the following electronic databases will be searched from their inceptions to the present: Cochrane Library, EMBASE, PUBMED, Cumulative Index to Nursing and Allied Health Literature, China National Knowledge Infrastructure, and Chinese Biomedical Literature Database. This study will include randomized controlled trials for assessing the effectiveness and safety of EPSW monotherapy for patients with ANFH. Two independent authors will perform study selection, data extraction, and methodology assessment. RevMan 5.3 software will be used for statistical analysis.

Results: This systematic review will provide latest summary evidence of EPSW monotherapy for patients with ANFH through assessing the outcome measurements. The primary outcome is pain intensity, which can be measured by visual analog scale or relevant measurement tools. The secondary outcomes are functional status of attacked femoral head, as assessed by Western Ontario and McMaster Universities Osteoarthritis Index, or other relevant scales; quality of life, as evaluated by The 36-Item Short Form Health Survey, or related instruments; and adverse events.

Conclusion: The results of this study may provide the latest evidence for assessing the effectiveness and safety of EPSW for the treatment of ANFH.

Dissemination And Ethics: This study does not require ethical approval, because no individual data will be involved in this systematic review. The findings of this study will be published through a peer-reviewed journal.

Systematic Review Registration: PROSPERO CRD42019124665.

Citing Articles

Electroacupuncture combined with extracorporeal shock wave therapy improves pain symptoms and inflammatory factor levels in knee osteoarthritis patients.

Liu S, Chen Q, Zhang Q, Tao K, Li C, Chang B Heliyon. 2023; 9(10):e20771.

PMID: 37842584 PMC: 10568100. DOI: 10.1016/j.heliyon.2023.e20771.

A Molecular Troika of Angiogenesis, Coagulopathy and Endothelial Dysfunction in the Pathology of Avascular Necrosis of Femoral Head: A Comprehensive Review.

Singh M, Singh B, Sharma K, Kumar N, Mastana S, Singh P Cells. 2023; 12(18).

PMID: 37759498 PMC: 10528276. DOI: 10.3390/cells12182278.

Worldwide research trends on femur head necrosis (2000-2021): a bibliometrics analysis and suggestions for researchers.

Zhang W, Du H, Liu Z, Zhou D, Li Q, Liu W Ann Transl Med. 2023; 11(3):155.

PMID: 36846011 PMC: 9951010. DOI: 10.21037/atm-23-303.

References

Li W, Zhang S, Yang Q, Li B, Meng Q, Guo Z . Effect of extracorporeal shock-wave therapy for treating patients with chronic rotator cuff tendonitis. Medicine (Baltimore). 2017; 96(35):e7940. PMC: 5585514. DOI: 10.1097/MD.0000000000007940. View

Guerado E, Caso E . The physiopathology of avascular necrosis of the femoral head: an update. Injury. 2017; 47 Suppl 6:S16-S26. DOI: 10.1016/S0020-1383(16)30835-X. View

Vulpiani M, Vetrano M, Trischitta D, Scarcello L, Chizzi F, Argento G . Extracorporeal shock wave therapy in early osteonecrosis of the femoral head: prospective clinical study with long-term follow-up. Arch Orthop Trauma Surg. 2012; 132(4):499-508. DOI: 10.1007/s00402-011-1444-9. View

Xie K, Mao Y, Qu X, Dai K, Jia Q, Zhu Z . High-energy extracorporeal shock wave therapy for nontraumatic osteonecrosis of the femoral head. J Orthop Surg Res. 2018; 13(1):25. PMC: 5797389. DOI: 10.1186/s13018-017-0705-x. View

Seki T, Hasegawa Y, Masui T, Yamaguchi J, Kanoh T, Ishiguro N . Quality of life following femoral osteotomy and total hip arthroplasty for nontraumatic osteonecrosis of the femoral head. J Orthop Sci. 2008; 13(2):116-21. DOI: 10.1007/s00776-007-1208-0. View

Bohndorf K, Roth A . [Imaging and classification of avascular femoral head necrosis]. Orthopade. 2018; 47(9):729-734. DOI: 10.1007/s00132-018-3615-7. View

Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M . Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015; 4:1. PMC: 4320440. DOI: 10.1186/2046-4053-4-1. View

Wang B, Yue D, Liu B, Guo W . Quality of sexual life after total hip arthroplasty in male patients with osteonecrosis of femoral head. Eur J Orthop Surg Traumatol. 2014; 24(7):1217-21. DOI: 10.1007/s00590-014-1432-1. View

MacNeil J, Francis A, El-Hawary R . A systematic review of rigid, locked, intramedullary nail insertion sites and avascular necrosis of the femoral head in the skeletally immature. J Pediatr Orthop. 2011; 31(4):377-80. DOI: 10.1097/BPO.0b013e3182172613. View

10.

Bohndorf K, Beckmann J, Jager M, Kenn W, Maus U, Noth U . [S3 Guideline. Part 1: Diagnosis and Differential Diagnosis of Non-Traumatic Adult Femoral Head Necrosis]. Z Orthop Unfall. 2015; 153(4):375-86. DOI: 10.1055/s-0035-1545901. View

11.

Abraham R, Meyerhoff J . Does vasculitis alone cause AVN? A review of literature. Rheumatol Int. 2012; 33(10):2671-3. DOI: 10.1007/s00296-012-2467-4. View

12.

Frassanito P, Cavalieri C, Maestri R, Felicetti G . Effectiveness of Extracorporeal Shock Wave Therapy and kinesio taping in calcific tendinopathy of the shoulder: a randomized controlled trial. Eur J Phys Rehabil Med. 2017; 54(3):333-340. DOI: 10.23736/S1973-9087.17.04749-9. View

13.

Moya-Angeler J, Gianakos A, Villa J, Ni A, Lane J . Current concepts on osteonecrosis of the femoral head. World J Orthop. 2015; 6(8):590-601. PMC: 4573503. DOI: 10.5312/wjo.v6.i8.590. View

14.

Luring C, Benignus C, Beckmann J . [Joint-preserving operative treatment of avascular necrosis of the femoral head]. Orthopade. 2018; 47(9):745-750. DOI: 10.1007/s00132-018-3607-7. View

15.

Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M . Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015; 350:g7647. DOI: 10.1136/bmj.g7647. View

16.

Zhang Q, Yang F, Chen Y, Wang H, Chen D, He W . Chinese herbal medicine formulas as adjuvant therapy for osteonecrosis of the femoral head: A systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore). 2018; 97(36):e12196. PMC: 6133442. DOI: 10.1097/MD.0000000000012196. View

17.

Manenti G, Altobelli S, Pugliese L, Tarantino U . The role of imaging in diagnosis and management of femoral head avascular necrosis. Clin Cases Miner Bone Metab. 2016; 12(Suppl 1):31-8. PMC: 4832402. DOI: 10.11138/ccmbm/2015.12.3s.031. View

18.

Nevskaya T, Gamble M, Pope J . A meta-analysis of avascular necrosis in systemic lupus erythematosus: prevalence and risk factors. Clin Exp Rheumatol. 2017; 35(4):700-710. View

19.

Wang C, Wang F, Huang C, Yang K, Weng L, Huang H . Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg Am. 2005; 87(11):2380-7. DOI: 10.2106/JBJS.E.00174. View

20.

HERNDON J, AUFRANC O . Avascular necrosis of the femoral head in the adult. A review of its incidence in a variety of conditions. Clin Orthop Relat Res. 1972; 86:43-62. DOI: 10.1097/00003086-197207000-00008. View