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The efficacy of pulsed electromagnetic fields used alone in the treatment of femoral head osteonecrosis: a report of two cases

Year 2003, Volume: 37 Issue: 5, 410 - 413, 11.09.2006

Sinan Seber Hakan Omeroglu Haldun Cetinkanat Nusret Kose

Abstract

Long-term radiologic and clinical results of pulsed electromagnetic fields (PEMF) are presented with illustration of two patients having Ficat-Arlet grade 2 osteonecrosis of the femoral head. One patient (female, age 33 years) had bilateral involvement due to systemic steroid use, the other (male, age 39 years) had right-sided involvement of unknown etiology. Surgical treatment was ruled out because of aplastic anemia associated with significant thrombocyte deficiency in the first patient, while the other refused surgery. Pulsed electromagnetic fields were applied as the sole treatment modality in three hips for six months with a duration of 10 hours daily (at nights). At the end of 12-year- and five-year-follow-ups, respectively, clinical improvement was observed in all hips, with no radiologic deterioration. It is concluded that application of PEMF stimulation alone may be an alternative treatment modality in patients in whom surgical treatment cannot be performed for femoral head osteonecrosis, in particular Ficat-Arlet grade 1 and 2 disease.

Keywords

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Femur başı osteonekrozu sağaltımında darbeli elektromanyetik alanın iki olguda tek başına kullanımı

Year 2003, Volume: 37 Issue: 5, 410 - 413, 11.09.2006

Sinan Seber Hakan Omeroglu Haldun Cetinkanat Nusret Kose

Abstract

İki hastanın üç kalçasında görülen femur başı osteonekrozu sağaltımında tek başına kullanılan darbeli elektromanyetik alan (DEMA) uygulamasının uzun dönem radyolojik ve klinik sonuçları sunuldu. Birinci olguda (33 yaşında kadın) sistemik steroid kullanımına bağlı iki taraflı, ikinci olguda (39 yaşında erkek) nedeni bulunamayan Ficat-Arlet evre 2 femur başı osteonekrozu saptandı. İlk hasta aplastik anemiye bağlı ciddi trombosit eksikliği nedeniyle, ikinci hasta cerrahi sağaltımı kabul etmediğinden ameliyat edilemedi. Her üç kalçaya da altı ay süreyle günde 10 saat (gece) DEMA uygulaması yapıldı. Birinci olgunun 12 yıllık, ikinci olgunun ise beş yıllık izlemi sonucunda üç kalçada da klinik olarak düzelme saptanırken, radyolojik olarak osteonekrozda ilerleme görülmedi. Değişik nedenlerle cerrahi olarak sağaltımı yapılamayan, özellikle Ficat-Arlet evre 1 ve 2 femur başı osteonekrozlu olgularda DEMA uygulamasının bir sağaltım seçeneği olabileceği düşünüldü.

Keywords

electromagnetic fields;therapeutic use;femur head necrosis/surgery;therapy

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Details

Primary Language English
Journal Section Case Report
Authors

Sinan Seber This is me

Hakan Omeroglu This is me

Haldun Cetinkanat This is me

Nusret Kose This is me

Publication Date September 11, 2006
Published in Issue Year 2003 Volume: 37 Issue: 5

Cite

APA Seber, S., Omeroglu, H., Cetinkanat, H., Kose, N. (2006). The efficacy of pulsed electromagnetic fields used alone in the treatment of femoral head osteonecrosis: a report of two cases. Acta Orthopaedica Et Traumatologica Turcica, 37(5), 410-413. https://doi.org/10.3944/aott.v37i5.808
AMA Seber S, Omeroglu H, Cetinkanat H, Kose N. The efficacy of pulsed electromagnetic fields used alone in the treatment of femoral head osteonecrosis: a report of two cases. Acta Orthopaedica et Traumatologica Turcica. September 2006;37(5):410-413. doi:10.3944/aott.v37i5.808
Chicago Seber, Sinan, Hakan Omeroglu, Haldun Cetinkanat, and Nusret Kose. “The Efficacy of Pulsed Electromagnetic Fields Used Alone in the Treatment of Femoral Head Osteonecrosis: A Report of Two Cases”. Acta Orthopaedica Et Traumatologica Turcica 37, no. 5 (September 2006): 410-13. https://doi.org/10.3944/aott.v37i5.808.
EndNote Seber S, Omeroglu H, Cetinkanat H, Kose N (September 1, 2006) The efficacy of pulsed electromagnetic fields used alone in the treatment of femoral head osteonecrosis: a report of two cases. Acta Orthopaedica et Traumatologica Turcica 37 5 410–413.
IEEE S. Seber, H. Omeroglu, H. Cetinkanat, and N. Kose, “The efficacy of pulsed electromagnetic fields used alone in the treatment of femoral head osteonecrosis: a report of two cases”, Acta Orthopaedica et Traumatologica Turcica, vol. 37, no. 5, pp. 410–413, 2006, doi: 10.3944/aott.v37i5.808.
ISNAD Seber, Sinan et al. “The Efficacy of Pulsed Electromagnetic Fields Used Alone in the Treatment of Femoral Head Osteonecrosis: A Report of Two Cases”. Acta Orthopaedica et Traumatologica Turcica 37/5 (September 2006), 410-413. https://doi.org/10.3944/aott.v37i5.808.
JAMA Seber S, Omeroglu H, Cetinkanat H, Kose N. The efficacy of pulsed electromagnetic fields used alone in the treatment of femoral head osteonecrosis: a report of two cases. Acta Orthopaedica et Traumatologica Turcica. 2006;37:410–413.
MLA Seber, Sinan et al. “The Efficacy of Pulsed Electromagnetic Fields Used Alone in the Treatment of Femoral Head Osteonecrosis: A Report of Two Cases”. Acta Orthopaedica Et Traumatologica Turcica, vol. 37, no. 5, 2006, pp. 410-3, doi:10.3944/aott.v37i5.808.
Vancouver Seber S, Omeroglu H, Cetinkanat H, Kose N. The efficacy of pulsed electromagnetic fields used alone in the treatment of femoral head osteonecrosis: a report of two cases. Acta Orthopaedica et Traumatologica Turcica. 2006;37(5):410-3.