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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...

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Autores principales: Mittermayr, Rainer, Haffner, Nicolas, Eder, Sebastian, Flatscher, Jonas, Schaden, Wolfgang, Slezak, Paul, Slezak, Cyrill
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
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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.
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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
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