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Background <p>Today, there are several nonoperative treatment measures available for the management of osteonecrosis and bone marrow oedema of the foot and ankle.</p> Treatment <p>These include immobilisation, the use of anti-inflammatory drugs (NSAIDs), physical therapy, orthotics and extracorporeal shockwave therapy (ESWT). Furthermore, off-label use of either bisphosphonates, denosumab or prostacyclins have proven to be effective treatment options. Notably, in many cases, symptoms resolve after several months without any specific treatment. As patients often present with insufficient vitamin&#xa0;D levels, the measurement and correction of vitamin&#xa0;D status is recommended.</p>

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Konservative Therapie von Osteonekrosen und Knochenmarködemen an Fuß und Sprunggelenk

  • 期刊论文

  • 发表日期：

    2025年2月11日

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  • Konstantin Horas,
  • Annette Eidmann,
  • Ioannis Stratos,
  • Dominik Rak,
  • Maximilian Rudert

摘要

Background

Today, there are several nonoperative treatment measures available for the management of osteonecrosis and bone marrow oedema of the foot and ankle.

Treatment

These include immobilisation, the use of anti-inflammatory drugs (NSAIDs), physical therapy, orthotics and extracorporeal shockwave therapy (ESWT). Furthermore, off-label use of either bisphosphonates, denosumab or prostacyclins have proven to be effective treatment options. Notably, in many cases, symptoms resolve after several months without any specific treatment. As patients often present with insufficient vitamin D levels, the measurement and correction of vitamin D status is recommended.