The purpose of this study was to examine the effect of focused extracorporeal shock wave therapy (ESWT) on the treatment of nonunions. As part of a prospective study, we included 143 patients (average age, 41.4 years) with a diagnosis of nonunion (mean, 14.1 months; range, 6-84 months). High-energy shock wave treatment was applied using electromagnetic shock wave generators. The shock waves were applied in 3-5 sessions of 2500 to 3000 impulses each given at 0.25-0.84 mJ/mm2, at intervals of 48-72 hours between sessions. A maximum of 3 cycles of treatment was given, at 3-month intervals. The patients were followed during a 12-month period until fracture healing or, in case of failure, until another therapy was adopted. Complete healing was observed in 80 of 143 cases (55.9%) at an average time of 7.6 months (range, 2-24 months). Partial healing occurred in 41 cases (28.7%) and no healing was observed in 22 cases (15.4%). Patients with trophic nonunions had a better success rate than patients with atrophic nonunions (P<.05). The results show ESWT is a safe and effective treatment for nonunions. ESWT is more effective for trophic nonunions than atrophic nonunions.

Effects of Extracorporeal Shock Wave Therapy on Fracture Nonunions / Vulpiani, MARIA CHIARA; Vetrano, Mario; Federica, Conforti; Lucia, Minutolo; Donatella, Trischitta; John P., Furia; Ferretti, Andrea. - In: THE AMERICAN JOURNAL OF ORTHOPEDICS. - ISSN 1934-3418. - 41(9):(2012), pp. E122-E127.

Effects of Extracorporeal Shock Wave Therapy on Fracture Nonunions

VULPIANI, MARIA CHIARA;VETRANO, MARIO;FERRETTI, Andrea
2012

Abstract

The purpose of this study was to examine the effect of focused extracorporeal shock wave therapy (ESWT) on the treatment of nonunions. As part of a prospective study, we included 143 patients (average age, 41.4 years) with a diagnosis of nonunion (mean, 14.1 months; range, 6-84 months). High-energy shock wave treatment was applied using electromagnetic shock wave generators. The shock waves were applied in 3-5 sessions of 2500 to 3000 impulses each given at 0.25-0.84 mJ/mm2, at intervals of 48-72 hours between sessions. A maximum of 3 cycles of treatment was given, at 3-month intervals. The patients were followed during a 12-month period until fracture healing or, in case of failure, until another therapy was adopted. Complete healing was observed in 80 of 143 cases (55.9%) at an average time of 7.6 months (range, 2-24 months). Partial healing occurred in 41 cases (28.7%) and no healing was observed in 22 cases (15.4%). Patients with trophic nonunions had a better success rate than patients with atrophic nonunions (P<.05). The results show ESWT is a safe and effective treatment for nonunions. ESWT is more effective for trophic nonunions than atrophic nonunions.
2012
01 Pubblicazione su rivista::01a Articolo in rivista
Effects of Extracorporeal Shock Wave Therapy on Fracture Nonunions / Vulpiani, MARIA CHIARA; Vetrano, Mario; Federica, Conforti; Lucia, Minutolo; Donatella, Trischitta; John P., Furia; Ferretti, Andrea. - In: THE AMERICAN JOURNAL OF ORTHOPEDICS. - ISSN 1934-3418. - 41(9):(2012), pp. E122-E127.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/492396
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