Ultraschall und Stoßwelle in der Pseudarthrosentherapie

Everding, Jens; Roßlenbroich, Steffen; Raschke, Michael J.

doi:10.1007/s10039-017-0310-6

Cited by 5 publications

(4 citation statements)

References 37 publications

(21 reference statements)

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“…( 36 ), the delay from the initial injury or the last operation was 3 to 6 months (delayed healing). Otherwise, in other papers, the Authors included those fractures that showed no progressive callus formation as well as the absence of radiographic progression of healing upon clinical examination by six months after injury ( 2 , 4 , 43 , 45 , 47 ). However, this may be due to the fact that there is no clear consensus among orthopedic surgeons in the assessment of fracture healing based on clinical evaluation and radiological examinations ( 47 – 49 ).…”

Section: Discussionmentioning

confidence: 99%

“…Physiological fracture healing occurs within 3 months after bone injury hrough an intricate and highly coordinated regenerative process ( 1 ). However, several local and/or systemic factors can contribute to retardation or failure of bone consolidation ( 2 ). As a result, up to 10% of patients with long bone fractures suffer from healing complications, which include both delayed and nonunion ( 1 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…Albeit conventional surgery intervention represents the gold standard for treating delayed unions and nonunions, in the last decades less invasive approaches have been implemented to enhance bone regeneration and fracture healing while avoiding hazards and complications of surgical interventions ( 2 , 7 ). In this regard, delayed unions require careful evaluation, as this can change their clinical course and management.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review

Ryskalin,

Fulceri,

Morucci

et al. 2023

Front. Endocrinol.

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Compared to other long bones, forearm fractures are particularly challenging due to the high rate of complications. These include malunion, delayed/nonunion, wrist and elbow movement reduction, and pain. Surgical procedure is considered the gold standard for managing delayed union and nonunion of the long bones. However, in the last decades, extracorporeal shockwave therapy (ESWT) has emerged as an effective and less invasive approach to enhance bone regeneration and fracture healing, avoiding major complications of surgical procedures. In contrast to the broad literature reporting good clinical results of ESWT in the treatment of nonunions, there is currently limited evidence regarding the clinical application of shock waves on long bone delayed fractures, particularly those of the forearm. In the present paper, we report a case of delayed bone healing of the diaphyseal region of the ulna treated with focused ESWT. The successful case experienced bone healing at the fracture site in less than 3 months after initial ESWT treatment. Acknowledging the limitation of reporting a case report, however, the remarkable clinical results and the absence of side effects contribute valuable information in support of the use of ESWT as an effective alternative to standard surgery for forearm fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review

Ryskalin,

Fulceri,

Morucci

et al. 2023

Front. Endocrinol.

View full text Add to dashboard Cite

show abstract

“…Extracorporeal shock wave therapy (ESWT) is widely used [ 1 ] in the treatment of classic indications, including musculoskeletal disorders, e.g., plantar fasciitis [ 2 ], tendinopathies [ 3 ], and non-union fractions [ 4 , 5 ]. While interest has spread into new areas of soft tissue applications, including the field of urology, i.e., treatment of erectile dysfunctions [ 6 ], treatment sites are often directly accessible without acoustical obstruction.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Feasibility Study for Transcranial Extracorporeal Shock Wave Therapy

2022

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The potential beneficial regenerative and stimulatory extracorporeal shock wave therapy (ESWT) applications to the central nervous system have garnered interest in recent years. Treatment zones for these indications are acoustically shielded by bones, which heavily impact generated sound fields. We present the results of high-resolution tissue-realistic simulations, comparing the viability of different ESWT applicators in their use for transcranial applications. The performances of electrohydraulic, electromagnetic, and piezoelectric transducers for key reflector geometries are compared. Based on density information obtained from CT imaging of the head, we utilized the non-linear wave propagation toolset Matlab k-Wave to obtain spatial therapeutic sound field geometries and waveforms. In order to understand the reliability of results on the appropriate modeling of the skull, three different bone attenuation models were compared. We find that all currently clinically ESWT applicator technologies show significant retention of peak pressures and energies past the bone barrier. Electromagnetic transducers maintain a significantly higher energy flux density compared to other technologies while low focusing strength piezoelectric applicators have the weakest transmissions. Attenuation estimates provide insights into sound field degradation and energy losses, indicating that effective transcranial therapies can readily be attained with current applicators. Furthermore, the presented approach will allow for future targeted in silico development and the design of applicators and therapy plans to ultimately improve therapeutic outcomes.

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Multicenter consensus statements on the use of low-intensity pulsed ultrasound (LIPUS) in Hand Surgery

Struckmann

Stolle

Hagl³

et al. 2023

Arch Orthop Trauma Surg

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Ultraschall und Stoßwelle in der Pseudarthrosentherapie

Abstract: Sinnvoll oder nicht und wann?Knochengewebe

Cited by 5 publications

References 37 publications

Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review

Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review

A Comparative Feasibility Study for Transcranial Extracorporeal Shock Wave Therapy

Multicenter consensus statements on the use of low-intensity pulsed ultrasound (LIPUS) in Hand Surgery

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