Cargando…
Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves
A delay or failure to heal is the most common possible complication in clavicle fractures, especially in cases primarily treated conservatively. As the current standard therapy, surgical revision achieves good healing results, but is associated with potential surgery-related complications. Shockwave...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999686/ https://www.ncbi.nlm.nih.gov/pubmed/35407594 http://dx.doi.org/10.3390/jcm11071988 |
_version_ | 1784685248137658368 |
---|---|
author | Mittermayr, Rainer Haffner, Nicolas Eder, Sebastian Flatscher, Jonas Schaden, Wolfgang Slezak, Paul Slezak, Cyrill |
author_facet | Mittermayr, Rainer Haffner, Nicolas Eder, Sebastian Flatscher, Jonas Schaden, Wolfgang Slezak, Paul Slezak, Cyrill |
author_sort | Mittermayr, Rainer |
collection | PubMed |
description | A delay or failure to heal is the most common possible complication in clavicle fractures, especially in cases primarily treated conservatively. As the current standard therapy, surgical revision achieves good healing results, but is associated with potential surgery-related complications. Shockwave therapy as a non-invasive therapy shows similar reasonable consolidation rates in the non-union of different localizations, but avoids complications. Compromised clavicle fractures in the middle and lateral third treated with focused high-energy shockwave therapy were compared with those treated with surgical revision (ORIF). In addition, a three-dimensional computer simulation for evaluating the pressure distribution during shockwave application accompanied the clinical study. A comparable healing rate in bony consolidation was achieved in both groups. Significantly fewer complications, however, occurred in the shockwave group. The simulations showed safe application in this instance, particularly in avoiding lung tissue affection. When applied correctly, shockwaves represent a safe and promising therapy option for compromised clavicle fractures in the middle and lateral third. |
format | Online Article Text |
id | pubmed-8999686 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89996862022-04-12 Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves Mittermayr, Rainer Haffner, Nicolas Eder, Sebastian Flatscher, Jonas Schaden, Wolfgang Slezak, Paul Slezak, Cyrill J Clin Med Article A delay or failure to heal is the most common possible complication in clavicle fractures, especially in cases primarily treated conservatively. As the current standard therapy, surgical revision achieves good healing results, but is associated with potential surgery-related complications. Shockwave therapy as a non-invasive therapy shows similar reasonable consolidation rates in the non-union of different localizations, but avoids complications. Compromised clavicle fractures in the middle and lateral third treated with focused high-energy shockwave therapy were compared with those treated with surgical revision (ORIF). In addition, a three-dimensional computer simulation for evaluating the pressure distribution during shockwave application accompanied the clinical study. A comparable healing rate in bony consolidation was achieved in both groups. Significantly fewer complications, however, occurred in the shockwave group. The simulations showed safe application in this instance, particularly in avoiding lung tissue affection. When applied correctly, shockwaves represent a safe and promising therapy option for compromised clavicle fractures in the middle and lateral third. MDPI 2022-04-02 /pmc/articles/PMC8999686/ /pubmed/35407594 http://dx.doi.org/10.3390/jcm11071988 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Mittermayr, Rainer Haffner, Nicolas Eder, Sebastian Flatscher, Jonas Schaden, Wolfgang Slezak, Paul Slezak, Cyrill Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves |
title | Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves |
title_full | Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves |
title_fullStr | Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves |
title_full_unstemmed | Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves |
title_short | Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves |
title_sort | safe and effective treatment of compromised clavicle fracture of the medial and lateral third using focused shockwaves |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999686/ https://www.ncbi.nlm.nih.gov/pubmed/35407594 http://dx.doi.org/10.3390/jcm11071988 |
work_keys_str_mv | AT mittermayrrainer safeandeffectivetreatmentofcompromisedclaviclefractureofthemedialandlateralthirdusingfocusedshockwaves AT haffnernicolas safeandeffectivetreatmentofcompromisedclaviclefractureofthemedialandlateralthirdusingfocusedshockwaves AT edersebastian safeandeffectivetreatmentofcompromisedclaviclefractureofthemedialandlateralthirdusingfocusedshockwaves AT flatscherjonas safeandeffectivetreatmentofcompromisedclaviclefractureofthemedialandlateralthirdusingfocusedshockwaves AT schadenwolfgang safeandeffectivetreatmentofcompromisedclaviclefractureofthemedialandlateralthirdusingfocusedshockwaves AT slezakpaul safeandeffectivetreatmentofcompromisedclaviclefractureofthemedialandlateralthirdusingfocusedshockwaves AT slezakcyrill safeandeffectivetreatmentofcompromisedclaviclefractureofthemedialandlateralthirdusingfocusedshockwaves |