TREATMENT OF DELAYED UNIONS AND NONUNIONS OF THE PROXIMAL 34TH METATARSAL WITH PULSED ELECTROMAGNETIC-FIELDS

被引:61
作者
HOLMES, GB
机构
[1] University Orthopaedics, Rush Medical School, Chicago, Illinois
关键词
D O I
10.1177/107110079401501006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Nine delayed unions and nonunion of the proximal fifth metatarsal were treated with pulsed electromagnetic fields (PEMF). All fractures healed in a mean time of 4 months (range 2-8 months). Those fractures treated with both pulsed electromagnetic fields and a nonweightbearing cast healed in a mean time of 3 months (range 2-4 months). The average duration of follow-up was 39 months (range 24-60 months). There were no refractures. When compared with reported healing times and morbidity for conventional casting, medullary curettage with inlay bone, and closed axial intramedullary screw fixation, pulsed electromagnetic fields provided an effective alternative for the treatment of delayed unions and nonunion of the proximal fifth metatarsal.
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页码:552 / 556
页数:5
相关论文
共 20 条
[1]
Barker A.T., Dixon R.A., Sharrard W.J.W., Sutcliffe M.L., Pulsed magnetic field therapy for tibial non-union: interim results of a double-blind trial, Lancet, 1, pp. 994-996, (1984)
[2]
Bassett C.A.L., Mitchell S.N., Gaston S.R., Treatment of ununited tibial diaphyseal fractures with pulsing electromagnetic fields, J. Bone Joint Surg., 63A, pp. 511-523, (1981)
[3]
Bassett C.A.L., Valdes M.G., Hernandez E., Modification of fracture repair with selected pulsing electromagnetic fields, J. Bone Joint Surg., 64A, pp. 888-895, (1982)
[4]
Borsalino G., Bagnacani M., Bettati E., Fomaciari F., Rocchi R., Uluhogian S., Ceccherelli G., Cadossi R., Traina G.C., Electrical stimulation of human femoral intertrochanteric osteotomies, Double blind study. Clin. Orthop. Rel. Res., 237, pp. 256-263, (1988)
[5]
Carp L., Fracture of the fifth metatarsal bone, With a special reference to delayed union. Ann. Surg., 86, pp. 308-320, (1927)
[6]
Dameron T.B., Fractures and anatomical variations of the proximal portion of the fifth metatarsal, J. Bone Joint Surg., 57A, pp. 788-792, (1975)
[7]
DeLee J.C., Evans J.P., Julian J., Stress fractures of the fifth metatarsal, Am. J. Sports Med., 5, pp. 349-353, (1983)
[8]
Fontanesi G., Giancecchi F., Rotini R., Cadossi R., Treatment of delayed union and pseudoarthrosis by low frequency pulsing electromagnetic stimulation: study of 35 cases, Ital. J. Orthop. Traumatol., 9, pp. 305-318, (1983)
[9]
Hinsenkamp M., Ryaby J., Burney F., Treatment of nonunion by pulsing electromagnetic fields: European multi-center study of 308 cases, Reconstr. Surg. Traumatol., 19, pp. 147-151, (1985)
[10]
Kavanaugh J.H., Brower T.D., Mann R.V., The Jones fracture revisited, J. Bone Joint Surg., 60A, pp. 776-782, (1978)