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Low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy
AIMS: To evaluate whether low-intensity pulsed ultrasound (LIPUS) accelerates bone healing at osteotomy sites and promotes functional recovery after open-wedge high tibial osteotomy (OWHTO). METHODS: Overall, 90 patients who underwent OWHTO without bone grafting were enrolled in this nonrandomized r...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Editorial Society of Bone & Joint Surgery
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709500/ https://www.ncbi.nlm.nih.gov/pubmed/36373863 http://dx.doi.org/10.1302/2633-1462.311.BJO-2022-0091.R1 |
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author | Goshima, Kenichi Sawaguchi, Takeshi Horii, Takeshi Shigemoto, Kenji Iwai, Shintaro |
author_facet | Goshima, Kenichi Sawaguchi, Takeshi Horii, Takeshi Shigemoto, Kenji Iwai, Shintaro |
author_sort | Goshima, Kenichi |
collection | PubMed |
description | AIMS: To evaluate whether low-intensity pulsed ultrasound (LIPUS) accelerates bone healing at osteotomy sites and promotes functional recovery after open-wedge high tibial osteotomy (OWHTO). METHODS: Overall, 90 patients who underwent OWHTO without bone grafting were enrolled in this nonrandomized retrospective study, and 45 patients treated with LIPUS were compared with 45 patients without LIPUS treatment in terms of bone healing and functional recovery postoperatively. Clinical evaluations, including the pain visual analogue scale (VAS) and Japanese Orthopaedic Association (JOA) score, were performed preoperatively as well as six weeks and three, six, and 12 months postoperatively. The progression rate of gap filling was evaluated using anteroposterior radiographs at six weeks and three, six, and 12 months postoperatively. RESULTS: The pain VAS and JOA scores significantly improved after OWHTO in both groups. Although the LIPUS group had better pain scores at six weeks and three months postoperatively, there were no significant differences in JOA score between the groups. The lateral hinge united at six weeks postoperatively in 34 (75.6%) knees in the control group and in 33 (73.3%) knees in the LIPUS group. The progression rates of gap filling in the LIPUS group were 8.0%, 15.0%, 27.2%, and 46.0% at six weeks and three, six, and 12 months postoperatively, respectively, whereas in the control group at the same time points they were 7.7%, 15.2%, 26.3%, and 44.0%, respectively. There were no significant differences in the progression rate of gap filling between the groups. CONCLUSION: The present study demonstrated that LIPUS did not promote bone healing and functional recovery after OWHTO with a locking plate. The routine use of LIPUS after OWHTO was not recommended from the results of our study. Cite this article: Bone Jt Open 2022;3(11):885–893. |
format | Online Article Text |
id | pubmed-9709500 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The British Editorial Society of Bone & Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-97095002022-12-08 Low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy Goshima, Kenichi Sawaguchi, Takeshi Horii, Takeshi Shigemoto, Kenji Iwai, Shintaro Bone Jt Open Knee AIMS: To evaluate whether low-intensity pulsed ultrasound (LIPUS) accelerates bone healing at osteotomy sites and promotes functional recovery after open-wedge high tibial osteotomy (OWHTO). METHODS: Overall, 90 patients who underwent OWHTO without bone grafting were enrolled in this nonrandomized retrospective study, and 45 patients treated with LIPUS were compared with 45 patients without LIPUS treatment in terms of bone healing and functional recovery postoperatively. Clinical evaluations, including the pain visual analogue scale (VAS) and Japanese Orthopaedic Association (JOA) score, were performed preoperatively as well as six weeks and three, six, and 12 months postoperatively. The progression rate of gap filling was evaluated using anteroposterior radiographs at six weeks and three, six, and 12 months postoperatively. RESULTS: The pain VAS and JOA scores significantly improved after OWHTO in both groups. Although the LIPUS group had better pain scores at six weeks and three months postoperatively, there were no significant differences in JOA score between the groups. The lateral hinge united at six weeks postoperatively in 34 (75.6%) knees in the control group and in 33 (73.3%) knees in the LIPUS group. The progression rates of gap filling in the LIPUS group were 8.0%, 15.0%, 27.2%, and 46.0% at six weeks and three, six, and 12 months postoperatively, respectively, whereas in the control group at the same time points they were 7.7%, 15.2%, 26.3%, and 44.0%, respectively. There were no significant differences in the progression rate of gap filling between the groups. CONCLUSION: The present study demonstrated that LIPUS did not promote bone healing and functional recovery after OWHTO with a locking plate. The routine use of LIPUS after OWHTO was not recommended from the results of our study. Cite this article: Bone Jt Open 2022;3(11):885–893. The British Editorial Society of Bone & Joint Surgery 2022-11-16 /pmc/articles/PMC9709500/ /pubmed/36373863 http://dx.doi.org/10.1302/2633-1462.311.BJO-2022-0091.R1 Text en © 2022 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Knee Goshima, Kenichi Sawaguchi, Takeshi Horii, Takeshi Shigemoto, Kenji Iwai, Shintaro Low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy |
title | Low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy |
title_full | Low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy |
title_fullStr | Low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy |
title_full_unstemmed | Low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy |
title_short | Low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy |
title_sort | low-intensity pulsed ultrasound does not promote bone healing and functional recovery after open wedge high tibial osteotomy |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709500/ https://www.ncbi.nlm.nih.gov/pubmed/36373863 http://dx.doi.org/10.1302/2633-1462.311.BJO-2022-0091.R1 |
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