Shock Wave Therapy as a Treatment of Nonunions, Avascular Necrosis, and Delayed Healing of Stress Fractures

被引:44
作者
Furia, John P. [1 ]
Rompe, Jan D. [2 ]
Cacchio, Angelo [3 ]
Maffulli, Nicola [4 ]
机构
[1] SUN Orthoped & Sports Med, Dept Orthoped Surg, Lewisburg, PA 17837 USA
[2] OrthoTrauma Evaluat Ctr, Dept Orthoped, D-55130 Mainz, Germany
[3] Univ Roma La Sapienza, Dept Phys Med & Rehabil, Rome, Italy
[4] Barts & London Queen Marys Sch Med & Dent, Ctr Sports & Exercise Med, Dept Orthoped, London, England
关键词
Shock wave therapy; Nonunion; Avascular necrosis; Stress fracture; RANDOMIZED CLINICAL-TRIAL; CHRONIC PLANTAR FASCIITIS; NECROTIC FEMORAL HEADS; LONG-BONE FRACTURES; EXTRACORPOREAL SHOCKWAVE; CORE DECOMPRESSION; SPATIAL EXPRESSION; LOCAL-ANESTHESIA; JONES FRACTURE; 5TH METATARSAL;
D O I
10.1016/j.fcl.2010.07.002
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
100224 [整形外科学];
摘要
Numerous basic science and animal model studies have shown that SWT can enhance neovascularity, increase bone mass, and stimulate osteogenesis.(9,11,13,14,18-21,44,45) Clinical trials have shown that SWT can be an effective treatment of nonunions, AVN, and delayed healing of stress fractures.(3-6,33-46) The procedure is noninvasive, safe, well tolerated, easily administered, and has a high patient satisfaction rate. Recent studies have shown that SWT is as effective as surgery in some instances.(5) For these reasons, SWT should be a part of a surgeon's treatment armamentarium for these challenging clinical disorders.
引用
收藏
页码:651 / 662
页数:12
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