Therapy with Pulsed Electromagnetic Fields in Aseptic Loosening of Total Hip Protheses: a Prospective Study

Overview

Journal Clin Rheumatol

Publisher Springer

Specialty Rheumatology

Date 1996 Jul 1

PMID 8853163

Citations 2

Authors

K Konrad

K Sevcic

K Foldes

E Piroska

E Molnar

Affiliations

Soon will be listed here.

Abstract

Aseptic loosening is the most common problem of hip arthroplasties, limiting its long term success. We report a study of pulsed electromagnetic field (PEMF) treatment in 24 patients with this complication. At the end of treatment, six months and one year later, pain and hip movements improved significantly with the exception of flexion and extension. There was significant improvement in both isotope scans and ultrasonography, but not in plain X-ray. The decreased pain and improved function suggest that PEMF is effective in improving symptoms of patients with loose hip replacement. No improvement, however, can be expected in patients with severe pain due to gross loosening.

Citing Articles

The effect of low-frequency electromagnetic field on human bone marrow stem/progenitor cell differentiation.

Ross C, Siriwardane M, Almeida-Porada G, Porada C, Brink P, Christ G Stem Cell Res. 2015; 15(1):96-108.

PMID: 26042793 PMC: 4516580. DOI: 10.1016/j.scr.2015.04.009.

Regulation of osteogenic differentiation of human adipose-derived stem cells by controlling electromagnetic field conditions.

Kang K, Hong J, Kang J, Rhie J, Jeong Y, Cho D Exp Mol Med. 2013; 45:e6.

PMID: 23306704 PMC: 3584658. DOI: 10.1038/emm.2013.11.

References

Trock D, Bollet A, Dyer Jr R, Fielding L, Miner W, Markoll R . A double-blind trial of the clinical effects of pulsed electromagnetic fields in osteoarthritis. J Rheumatol. 1993; 20(3):456-60. View

Fontanesi G, Traina G, Giancecchi F, Tartaglia I, Rotini R, Virgili B . Slow healing fractures: can they be prevented? (Results of electrical stimulation in fibular osteotomies in rats and in diaphyseal fractures of the tibia in humans). Ital J Orthop Traumatol. 1986; 12(3):371-85. View

Foldes K, Gaal M, Balint P, Nemenyi K, Kiss C, Balint G . Ultrasonography after hip arthroplasty. Skeletal Radiol. 1992; 21(5):297-9. DOI: 10.1007/BF00241767. View

Retpen J, Varmarken J, Rock N, Jensen J . Unsatisfactory results after repeated revision of hip arthroplasty. 61 cases followed for 5 (1-10) years. Acta Orthop Scand. 1992; 63(2):120-7. DOI: 10.3109/17453679209154807. View

BASSETT C, PAWLUK R, Pilla A . Augmentation of bone repair by inductively coupled electromagnetic fields. Science. 1974; 184(4136):575-7. DOI: 10.1126/science.184.4136.575. View

Mulroy Jr R, Harris W . The effect of improved cementing techniques on component loosening in total hip replacement. An 11-year radiographic review. J Bone Joint Surg Br. 1990; 72(5):757-60. DOI: 10.1302/0301-620X.72B5.2211749. View

Amstutz H, Campbell P, Kossovsky N, Clarke I . Mechanism and clinical significance of wear debris-induced osteolysis. Clin Orthop Relat Res. 1992; (276):7-18. View

Harris W . Will stress shielding limit the longevity of cemented femoral components of total hip replacement?. Clin Orthop Relat Res. 1992; (274):120-3. View

Aaron R, LENNOX D, Bunce G, Ebert T . The conservative treatment of osteonecrosis of the femoral head. A comparison of core decompression and pulsing electromagnetic fields. Clin Orthop Relat Res. 1989; (249):209-18. View

10.

Harris W . Osteolysis and particle disease in hip replacement. A review. Acta Orthop Scand. 1994; 65(1):113-23. DOI: 10.3109/17453679408993734. View

11.

SHARRARD W . A double-blind trial of pulsed electromagnetic fields for delayed union of tibial fractures. J Bone Joint Surg Br. 1990; 72(3):347-55. DOI: 10.1302/0301-620X.72B3.2187877. View

12.

BASSETT C, Mitchell S, Gaston S . Pulsing electromagnetic field treatment in ununited fractures and failed arthrodeses. JAMA. 1982; 247(5):623-8. View

13.

Tabrah F, Hoffmeier M, Gilbert Jr F, BATKIN S, BASSETT C . Bone density changes in osteoporosis-prone women exposed to pulsed electromagnetic fields (PEMFs). J Bone Miner Res. 1990; 5(5):437-42. DOI: 10.1002/jbmr.5650050504. View

14.

Trock D, Bollet A, Markoll R . The effect of pulsed electromagnetic fields in the treatment of osteoarthritis of the knee and cervical spine. Report of randomized, double blind, placebo controlled trials. J Rheumatol. 1994; 21(10):1903-11. View

15.

Bos I, Lindner B, Seydel U, Johannisson R, Dorre E, HENSSGE J . [The cause of loosening in cemented hip joint prostheses. Light and electron microscopy study and laser microprobe mass analysis]. Z Orthop Ihre Grenzgeb. 1990; 128(1):73-82. DOI: 10.1055/s-2008-1039865. View

16.

Harris W, McGann W . Loosening of the femoral component after use of the medullary-plug cementing technique. Follow-up note with a minimum five-year follow-up. J Bone Joint Surg Am. 1986; 68(7):1064-6. View

17.

McLeod K, Rubin C . The effect of low-frequency electrical fields on osteogenesis. J Bone Joint Surg Am. 1992; 74(6):920-9. View

18.

van Holsbeeck M, EYLER W, SHERMAN L, Lombardi T, MEZGER E, Verner J . Detection of infection in loosened hip prostheses: efficacy of sonography. AJR Am J Roentgenol. 1994; 163(2):381-4. DOI: 10.2214/ajr.163.2.8037036. View

19.

Binder A, Parr G, Hazleman B . Pulsed electromagnetic field therapy of persistent rotator cuff tendinitis. A double-blind controlled assessment. Lancet. 1984; 1(8379):695-8. DOI: 10.1016/s0140-6736(84)92219-0. View