Cargando…

Low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series

BACKGROUND: The standard treatment to enhance fracture healing of scaphoid nonunions is surgery. Low-intensity pulsed ultrasound (LIPUS) is gaining in popularity as an alternative treatment to improve fracture healing; however, little is known about success rates of this treatment in scaphoid-delaye...

Descripción completa

Detalles Bibliográficos
Autores principales: Farkash, Uri, Bain, Orit, Gam, Arnon, Nyska, Meir, Sagiv, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4490651/
https://www.ncbi.nlm.nih.gov/pubmed/25986554
http://dx.doi.org/10.1186/s13018-015-0221-9
_version_ 1782379545985286144
author Farkash, Uri
Bain, Orit
Gam, Arnon
Nyska, Meir
Sagiv, Paul
author_facet Farkash, Uri
Bain, Orit
Gam, Arnon
Nyska, Meir
Sagiv, Paul
author_sort Farkash, Uri
collection PubMed
description BACKGROUND: The standard treatment to enhance fracture healing of scaphoid nonunions is surgery. Low-intensity pulsed ultrasound (LIPUS) is gaining in popularity as an alternative treatment to improve fracture healing; however, little is known about success rates of this treatment in scaphoid-delayed unions. The purpose of our study is to define the success rate of LIPUS treatment for delayed union of scaphoid fractures and further analyze whether initial management or fracture type influences success rate. METHODS: During the period of 2011–2013, in the central orthopedic clinic of our institution, patients diagnosed with delayed union of the scaphoid were offered with LIPUS treatment as an alternative to conventional surgical treatment. These patients were then divided into subgroups according to the time elapsed from initial injury until diagnosis of the fracture. RESULTS: Overall, 22 of 29 (76 %) fractures healed, 12 of 13 (92 %) of the early diagnosed group, and 10 of 16 (63 %) of the late diagnosed group. Difference in healing rate between proximal pole, waist, and distal pole fractures was not statistically significant. CONCLUSION: LIPUS can help heal delayed union scaphoid fractures, especially in fractures diagnosed and treated soon after injury and may serve as an alternative to surgical treatment.
format Online
Article
Text
id pubmed-4490651
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-44906512015-07-04 Low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series Farkash, Uri Bain, Orit Gam, Arnon Nyska, Meir Sagiv, Paul J Orthop Surg Res Research Article BACKGROUND: The standard treatment to enhance fracture healing of scaphoid nonunions is surgery. Low-intensity pulsed ultrasound (LIPUS) is gaining in popularity as an alternative treatment to improve fracture healing; however, little is known about success rates of this treatment in scaphoid-delayed unions. The purpose of our study is to define the success rate of LIPUS treatment for delayed union of scaphoid fractures and further analyze whether initial management or fracture type influences success rate. METHODS: During the period of 2011–2013, in the central orthopedic clinic of our institution, patients diagnosed with delayed union of the scaphoid were offered with LIPUS treatment as an alternative to conventional surgical treatment. These patients were then divided into subgroups according to the time elapsed from initial injury until diagnosis of the fracture. RESULTS: Overall, 22 of 29 (76 %) fractures healed, 12 of 13 (92 %) of the early diagnosed group, and 10 of 16 (63 %) of the late diagnosed group. Difference in healing rate between proximal pole, waist, and distal pole fractures was not statistically significant. CONCLUSION: LIPUS can help heal delayed union scaphoid fractures, especially in fractures diagnosed and treated soon after injury and may serve as an alternative to surgical treatment. BioMed Central 2015-05-20 /pmc/articles/PMC4490651/ /pubmed/25986554 http://dx.doi.org/10.1186/s13018-015-0221-9 Text en © Farkash et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Farkash, Uri
Bain, Orit
Gam, Arnon
Nyska, Meir
Sagiv, Paul
Low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series
title Low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series
title_full Low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series
title_fullStr Low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series
title_full_unstemmed Low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series
title_short Low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series
title_sort low-intensity pulsed ultrasound for treating delayed union scaphoid fractures: case series
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4490651/
https://www.ncbi.nlm.nih.gov/pubmed/25986554
http://dx.doi.org/10.1186/s13018-015-0221-9
work_keys_str_mv AT farkashuri lowintensitypulsedultrasoundfortreatingdelayedunionscaphoidfracturescaseseries
AT bainorit lowintensitypulsedultrasoundfortreatingdelayedunionscaphoidfracturescaseseries
AT gamarnon lowintensitypulsedultrasoundfortreatingdelayedunionscaphoidfracturescaseseries
AT nyskameir lowintensitypulsedultrasoundfortreatingdelayedunionscaphoidfracturescaseseries
AT sagivpaul lowintensitypulsedultrasoundfortreatingdelayedunionscaphoidfracturescaseseries