High-energy extracorporeal shock waves in treatment of nonunion and delayed union:preliminary results
- VernacularTitle:体外高能震波治疗骨不连和骨延迟愈合的初步结果
- Author:
Zhen-An ZHU
;
Yue-Hua SUN
;
Meng-Ning YAN
;
- Publication Type:Journal Article
- Keywords:
High-energy extracorporeal shock wave;
Nonunion;
Fracture;
Delayed union
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of the Ossatron high-energy shock waves on bone nonunion and delayed union.Methods Between October 2004 and October 2005,18 patients with nonunion and four patients with delayed union were treated with high-energy extracorporeal shock wave therapy(Ossatron,HMT Co., Swiss).Facture lines were located with C-arm X-ray before treatment.Parameters of shock waves were decided according to fracture sites.Patients with unstable fixation received plaster or bracing for 6 to 8 weeks after treatment. After therapy,follow-up radiography was performed at 6 and 12 weeks and monthly afterwards until the fracture united. Results The mean follow-up was 6.7 months(range,3 to 12 months).There were no complications except local petechial hemorrhage and local swelling in 10 patients.Thirteen patients(59.1%)got bony union,including 12 patients(66.7% )with stable internal fixation,and the average healing time was 4.3 months(range,6 weeks to 6 months).Nine fractures(40.9%)still suffered nonunion.Conclusion High-energy shock waves are a good alternative therapy for nonunion and delayed union,with obvious advantages of being non-invasive and safe.
