The Effect of High Energy Shock Waves Focused on Cortical Bone: An in Vitro Study

Sukul, D.M.K.S.Kaulesar; Johannes, E.J.; Pierik, E.G.J.M.; Eijck, G.J.W.M. van; Kristelijn, Miranda

doi:10.1006/jsre.1993.1008

Cited by 105 publications

(45 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bazı çalışmalar-da, ESWT'nin mikro-kırıklar ve hematom oluşturarak kemik yapımını uyarıcı etki gösterdiği iddia edilmektedir. [3,31,32] Buna karşın, son yıllarda yapılan deneysel çalışmalarda, etkinin mikro-kırık oluşumu ile ilgili olmadığı ve kırık kaynamasını hızlandıran nedenin osteojenik uyarı olduğu iddia edilmiştir. [27,33] ESWT'nin ortamdaki TGF-B1 ve BMP-2 üretimini arttırdığı ve bu mediyatörler aracılığıyla, mezenkimal kök hücre-lerinin kemik iliğinden ortama çağrılmasını (recruitment) ve osteoprogenitor hücrelere farklılaşmasını hızlandırdığı iddia edilmektedir.…”

Section: şOk Dalgalarinin Kirik İyi̇leşmesi̇ üZeri̇ne Etki̇leri̇unclassified

Ortopedi ve travmatolojide şok dalga tedavisi

Lok¹,

Köse²,

Baloğlu³

et al. 2017

TOTBID

View full text Add to dashboard Cite

Section: şOk Dalgalarinin Kirik İyi̇leşmesi̇ üZeri̇ne Etki̇leri̇unclassified

Ortopedi ve travmatolojide şok dalga tedavisi

Lok¹,

Köse²,

Baloğlu³

et al. 2017

TOTBID

View full text Add to dashboard Cite

“…Das Wirkungsprinzip der ESWT bei orthopädischen Erkrankungen ist noch weitestgehend ungeklärt. Neben einem analgetischen Effekt und verbesserten metabolischen Vorgängen im Gewebe (Loew et al 1999, Löffeld et al 2002 wird eine Aktivierung des Knochenwachstums (Haupt et al 1992, Kaulesar Sukul et al 1993, Kusnierczak et al 2000 bei Insertionsdesmopathien (McClure 2002), eine verbesserte Durchblutung im therapierten Gewebe (Russo und Galasso 2001), eine stoßwelleninduzierte Stickstoffmonoxid-Synthese (Gotte 2002, Cavalieri et al 2003, Russo 2003 und eine stoßwelleninduzierte Neovaskularisation (Russo und Galasso 2001, Wang et al 2002 diskutiert. Ein besseres Verständnis der Analgesie durch Stoßwellentherapie und vor allem ein besseres Verständnis der Gewichtung der übrigen Effekte im Rahmen der Behandlung sind von besonderem Interesse für den weiteren Einsatz der ESWT.…”

Section: In Group Bunclassified

The use of extracorporeal shock wave therapy in horses with navicular disease

Blum¹,

Kreling²,

Litzke³

2005

PHK

View full text Add to dashboard Cite

ZusammenfassungIn der vorliegenden Studie wurde die Wirksamkeit der Extrakorporalen Stoßwellentherapie (ESWT) für die Behandlung des PodotrochloseSyndroms anhand des klinischen Lahmheitsverlaufes getestet. Das Patientenmaterial setzte sich aus 42 Pferden verschiedener Rassen, Alters sowie Geschlechts zusammen. Bei allen Tieren bestand eine mindestens dreimonatige chronisch-rezidivierende Lahmheit einer oder beider Vordergliedmaßen, die zuvor mit einer oder mehreren konventionellen Therapiemethoden erfolglos vorbehandelt waren. Das Patientenmaterial wurde in zwei Gruppen untergliedert. In der ersten Gruppe (24 Pferde) wurden 38 erkrankte Gliedmaßen über die Hufsohle behandelt. Bei den 18 Pferden der zweiten Gruppe erfolgte die ESWT an 25 Gliedmaßen über die Fesselbeuge. Nach Ablauf eines Beobachtungszeitraumes von 6 Wochen waren die Pferde der ersten Gruppe auf 47,4% der behandelten Gliedmaßen lahmfrei. In der zweiten Gruppe führte die ESWT bei 80,0% der behandelten Gliedmaßen zur Lahmfreiheit. Statistisch lag in beiden Gruppen eine signifikante Verbesserung der Lahmheitssituation nach Stoßwellentherapie vor (p ≤ 0,05), wobei die Stoßwellenapplikation über die Fesselbeuge zu besseren Ergebnissen führte als in der ersten Gruppe mit Applikation über die Hufsohle.Schlüsselwörter: Pferd, Lahmheit, Stoßwellentherapie, Hufrolle, Podotrochlose-SyndromThe use of extracorporeal shock wave therapy in horses with navicular diseaseIn this study the effectiveness of the treatment of navicular disease by the means of extracorporal shockwave application (ESWT) has been tested. The tested patients composed of a total of 42 horses of different race, age and gender which showed lameness of a duration of at least three months on either one or both front extremities. In addition all patients needed to have a history of one or more attempts of conventional treatment and the occurrence of a relapse. The tested horses were devided into two groups; group one was undergoing application of shockwaves through the sole of the hoof whereas in group two the shockwaves were applied over the bulb region. All horses were treated standing without undergoing general anestesia, only receiving sedation when necessary. The application of shockwaves to the navicular bone was done without ultrasonographical or radiological aid. After an observation period of six weeks 47,4% of the treated legs of patients out of group one have been found to be free of lameness, whereas in 80,0% of treated legs of patients out of group two were sound and showed no signs of lamness any more. Statistical evaluation of the captured data showed that in both groups a significant improvement of the disease pattern could be noticed (p ≤ 0,05). In comparison of both groups the second one achieved even better results. None of the treated horses showed severe problems during or after shockwave application. Therefore shockwave therapy is found to be an probable alternative in treating navicular disease, even though there has to be further investigation on how shockwave therapy wor...

show abstract

“…Only with very high levels of energy has an effect on cortical bone been previously documented [14].…”

Section: Effect Of Shockwaves On Mature Cortical Bonementioning

confidence: 99%

“…The soft tissues about the tibiae studied were accoustically similar to the water in the "beach ball" and conductive gel. Thus this energy was coverted into tension waves and mechanical energy only at the site of the osteotomy [1,2,4,5,6,11,14,16,19].…”

Section: Administration Of Shockwavesmentioning

confidence: 99%

The effect of shockwaves on mature and healing cortical bone

Forriol

Solchaga

Moreno

et al. 1994

International Orthopaedics

View full text Add to dashboard Cite

SUMMARYIt has been proposed that high energy shockwaves could be used to creare microfractures in cortical bone. This quality might be exploited clinically to perforen closed osteotomies and promote healing in nonunion (15). However; no study has previously documented the effect of shockwaves on cortical bone "in vivo". We report an investigation designed to demonstrate the effect of shockwaves on mature cortical and healing bone. An osteotomy was performed on the tibiae of 37 lambs; two weeks later the operation site was exposed to shockwaves. Three weeks later the lambs were killed and specimens of the bone examined histologically and radiographically. Shockwaves had no effect on the periosteal surface of mature cortical bone, but on the endosteal surface some new trabecular bone was seen. Healing of bone was delayed by the shockwave therapy. We conclude that there is currently little place for shockwave treatment in clinical orthopaedics.

show abstract

The Effect of High Energy Shock Waves Focused on Cortical Bone: An in Vitro Study

Cited by 105 publications

References 0 publications

Ortopedi ve travmatolojide şok dalga tedavisi

Ortopedi ve travmatolojide şok dalga tedavisi

The use of extracorporeal shock wave therapy in horses with navicular disease

The effect of shockwaves on mature and healing cortical bone

Contact Info

Product

Resources

About