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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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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 |
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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 |
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