High-energy extracorporal shock wave therapy (ESWT) for treatment of pseudarthrosis

被引：35

作者：

Vogel, J ^{[1
]}

Rompe, JD ^{[1
]}

Hopf, C ^{[1
]}

Heine, J ^{[1
]}

Burger, R ^{[1
]}

机构：

[1] UNIV MAINZ,ORTHOPAD KLIN & POLIKLIN,D-6500 MAINZ,GERMANY

来源：

ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE | 1997年 / 135卷 / 02期

关键词：

pseudarthrosis; surgical therapy; shock waves; bony consolidation;

D O I：

10.1055/s-2008-1039571

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：

Problem: The success rate of high-energy extracorporal shock wave therapy in the treatment of non-unions in comparison to the ''golden standard'' surgery is still unclear. Method: In a prospective study, 3000 impulses with an energy density of 0,6 mJ/mm(2) were applied with an experimental device to the pseudarthrosis in 52 patients. Results: The mean duration of pseudarthrosis was 13 months. A mean of 2.5 surgical interventions had already been performed. Bony union was achieved in 52% of our patients after an average of 3.3 months. Failures especially were found in the atrophic type of pseudarthrosis as well as in congenital bone disorders like fibrous dysplasia or osteogenesis imperfecta. No serious complications were observed. Conclusions: Even after numerous surgical interventions high-energy extracorporal shock wave therapy as a noninvasive method for the treatment of bony non-unions showed a fair success rate. A higher success rate can be expected by strict selection criteria.

引用

页码：145 / 149

页数：7

共 42 条

[1] IN-VIVO EFFECT OF SHOCK-WAVES ON THE HEALING OF FRACTURED BONE [J].