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Extracorporeal shock wave treatment in nonunions of long bone fractures.
- Source :
-
International Orthopaedics . Jun2009, Vol. 33 Issue 3, p789-793. 5p. - Publication Year :
- 2009
-
Abstract
- Abstract  We reviewed the clinical results of the past 7 years in order to investigate the effect of extracorporeal shock wave therapy (ESWT) in nonunions of long bone fracture. Sixty-nine patients with 69 nonunions (22 femora, 28 tibiae, 13 humeri, 5 radii, and 1 ulna) were treated with extracorporeal shock waves. The technical parameters were 6,000 to 10,000 impulses at 28 kV (0.62 mJ/mm2 energy flux density) for the femur and tibia, 4,000 impulses at 24 kV for the humerus (0.56 mJ/mm2 energy flux density), and 3,000 impulses at 24 kV (0.56 mJ/mm2 energy flux density) for the radius and ulna. Sixty-six patients were followed up. The total successful rate of bony union was 75.4%. ESWT was successful in hypertrophic nonunions and seemed to have no evident effect in atrophic nonunions. We believe that extracorporeal shock wave therapy may be a good choice for nonunions of long bone fracture especially in hypertrophic nonunions. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03412695
- Volume :
- 33
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- International Orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 41427085
- Full Text :
- https://doi.org/10.1007/s00264-008-0553-8