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Updated: Jun 9, 2025
Author Spotlight: Effectiveness of Extracorporeal Shockwave Therapy in Achilles Tendinopathy Treatment
Published on: August 2, 2024
Extracorporeal shock wave therapy in treating ischial non-union following Bernese periacetabular osteotomy: A case
Jun Yan1, Jun-Yu Zhu2, Fei-Fei Zhao3
1Department of Orthopedics, The Third Medical Center of Chinese People's Liberation Army General Hospital, Beijing 100039, China.
Background:
Extracorporeal shock wave therapy (ESWT) is increasingly being recognized as an advantageous alternative for treating non-union due to its efficacy and minimal associated complications. Non-union following Bernese periacetabular osteotomy (PAO) is particularly challenging, with a reported 55% delayed union and 8% non-union. Herein, we highlight a unique case of ischial non-union post-PAO treated successfully with a structured ESWT regimen.
Case Summary:
A 50-year-old patient, diagnosed with left ischial non-union following the PAO, underwent six cycles of ESWT treatment across ten months. Each cycle, spaced four weeks apart, consisted of five consecutive ESWT sessions without anesthesia. Regular X-ray follow-ups showed progressive disappearance of the fracture line and fracture union. The patient ultimately achieved a satisfactory asymptomatic recovery and bone union.
Conclusion:
The results from this case suggest that this ESWT regimen can be a promising non-invasive treatment strategy for non-union following PAO.
