Extracorporeal shock wave treatment in nonunions of long bone fractures
- 25 April 2008
- journal article
- Published by Springer Science and Business Media LLC in International Orthopaedics
- Vol. 33 (3), 789-793
- https://doi.org/10.1007/s00264-008-0553-8
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.Keywords
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