Management of chronic ulcers in the lower extremities is still a challenge for patients and health providers. Recent studies showed extracorporeal shock waves (ESW) as effective in stimulating growth factors, inducing angiogenesis and healing of fractures and injuries. This study was planned to investigate the opportunity of introducing the ESW in the treatment of chronic wounds. Thirty consecutive patients with chronic posttraumatic, venous and diabetic ulcers, unresponsive to conservative or advanced dressing treatments, were counseled about the use of ESW as alternative treatment for their wounds. Thirty-two wounds were treated and 16 wounds healed completely within six sessions of ESW. In all of the nonhealed wounds, decrease of the amount of exudates, increased percentage of granulation tissue compared with fibrin/necrotic tissue and decrease of wounds' size were statistically significant after four to six sessions of ESW (p < 0.01). Significant decrease of pain was reported (p < 0.001). Comparison with a control group of 10 patients with chronic ulcer treated on the basis of regular dressings confirmed the statistical significant improvement in the healing process (p < 0.01). ESW therapy seems to be a safe, feasible and cost-effective treatment for chronic ulcers in the lower extremities. Further research and clinical trials are necessary to evaluate dose and time intervals of sessions to standardize a protocol of treatment in the management of chronic wounds.

Extracorporeal Shock Wave Therapy for Management of Chronic Ulcers in the Lower Extremities. Ultrasound Med Biol. 2008 Apr 2; / Saggini, R; Figus, A; Troccola, Antonietta; Cocco, V; Saggini, A; Scuderi, Nicolo'. - In: ULTRASOUND IN MEDICINE AND BIOLOGY. - ISSN 0301-5629. - 2:(2008), pp. 1261-1271. [10.1016/j.ultrasmedbio.2008.01.010]

Extracorporeal Shock Wave Therapy for Management of Chronic Ulcers in the Lower Extremities. Ultrasound Med Biol. 2008 Apr 2;

TROCCOLA, Antonietta;SCUDERI, Nicolo'
2008

Abstract

Management of chronic ulcers in the lower extremities is still a challenge for patients and health providers. Recent studies showed extracorporeal shock waves (ESW) as effective in stimulating growth factors, inducing angiogenesis and healing of fractures and injuries. This study was planned to investigate the opportunity of introducing the ESW in the treatment of chronic wounds. Thirty consecutive patients with chronic posttraumatic, venous and diabetic ulcers, unresponsive to conservative or advanced dressing treatments, were counseled about the use of ESW as alternative treatment for their wounds. Thirty-two wounds were treated and 16 wounds healed completely within six sessions of ESW. In all of the nonhealed wounds, decrease of the amount of exudates, increased percentage of granulation tissue compared with fibrin/necrotic tissue and decrease of wounds' size were statistically significant after four to six sessions of ESW (p < 0.01). Significant decrease of pain was reported (p < 0.001). Comparison with a control group of 10 patients with chronic ulcer treated on the basis of regular dressings confirmed the statistical significant improvement in the healing process (p < 0.01). ESW therapy seems to be a safe, feasible and cost-effective treatment for chronic ulcers in the lower extremities. Further research and clinical trials are necessary to evaluate dose and time intervals of sessions to standardize a protocol of treatment in the management of chronic wounds.
2008
01 Pubblicazione su rivista::01a Articolo in rivista
Extracorporeal Shock Wave Therapy for Management of Chronic Ulcers in the Lower Extremities. Ultrasound Med Biol. 2008 Apr 2; / Saggini, R; Figus, A; Troccola, Antonietta; Cocco, V; Saggini, A; Scuderi, Nicolo'. - In: ULTRASOUND IN MEDICINE AND BIOLOGY. - ISSN 0301-5629. - 2:(2008), pp. 1261-1271. [10.1016/j.ultrasmedbio.2008.01.010]
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/4980
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 22
  • Scopus 100
  • ???jsp.display-item.citation.isi??? 92
social impact