Three key factors affecting treatment results of low-intensity pulsed ultrasound for delayed unions and nonunions: Instability, gap size, and atrophic nonunion

Journal of Orthopaedic Science

Volumn 18, Issue 5, 2013, Pages 803-810

  Watanabe, Yoshinobu ^a   Arai, Yukihiro ^a   Takenaka, Nobuyuki ^a   Kobayashi, Makoto ^a   Matsushita, Takashi ^a  

^a TEIKYO UNIVERSITY SCHOOL OF MEDICINE   (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; ATROPHIC NONUNION; BONE RADIOGRAPHY; CLINICAL EFFECTIVENESS; CONTROLLED STUDY; DIAPHYSIS FRACTURE; FEMALE; FRACTURE NONUNION; HUMAN; INSTABILITY AT FRACTURE SITE; LEG FRACTURE; LOW INTENSITY PULSED ULTRASOUND; LOW INTENSITY PULSED ULTRASOUND DEVICE; MAJOR CLINICAL STUDY; MALE; MAXIMUM FRACTURE GAP SIZE; MUSCULOSKELETAL SYSTEM PARAMETERS; OBSERVATIONAL STUDY; ORTHOPEDIC THERAPEUTIC DEVICE; OUTCOME ASSESSMENT; PRE EXISTED INTRAMEDULLARY NAIL; PREDICTION; RETROSPECTIVE STUDY; TREATMENT FAILURE; ULTRASOUND THERAPY;

ADULT; AGED; AGED, 80 AND OVER; COHORT STUDIES; FEMALE; FRACTURES, BONE; FRACTURES, UNUNITED; HUMANS; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; TIME FACTORS; TREATMENT OUTCOME; ULTRASONIC THERAPY; YOUNG ADULT;

EID: 84885479250     PISSN: 09492658     EISSN: 14362023     Source Type: Journal    
DOI: 10.1007/s00776-013-0415-0     Document Type: Article

References (26)

1. Duarte LR. The stimulation of bone growth by ultrasound. Arch Orthop Trauma Surg. 1983;101:153-9.
2. Watanabe Y, Matsushita T, Bhandari M, Zdero R, Schemitsch EH. Ultrasound for fracture healing: current evidence. J Orthop Trauma. 2010;24(Suppl 1):S56-61.
3. Heckman JD, Ryaby JP, McCabe J, Frey JJ, Kilcoyne RF. Acceleration of tibial fracture-healing by non-invasive, low-intensity pulsed ultrasound. J Bone Joint Surg Am. 1994;76:26-34.
4. Kristiansen TK, Ryaby JP, McCabe J, Frey JJ, Roe LR. Accelerated healing of distal radial fractures with the use of specific, low-intensity ultrasound. A multicenter, prospective, randomized, double-blind, placebo-controlled study. J Bone Joint Surg Am. 1997;79:961-73.
5. Leung KS, Lee WS, Tsui HF, Liu PP, Cheung WH. Complex tibial fracture outcomes following treatment with low-intensity pulsed ultrasound. Ultrasound Med Biol. 2004;30:389-95.
6. Nolte PA, van der Krans A, Patka P, Janssen IM, Ryaby JP, Albers GH. Low-intensity pulsed ultrasound in the treatment of nonunions. J Trauma. 2001;51:693-703.
7. Mayr E, Frankel V, Ruter A. Ultrasound-an alternative healing method for nonunions? Arch Orthop Trauma Surg. 2000;120:1-8.
8. Pigozzi F, Moneta MR, Giombini A, Giannini S, Di Cesare A, Fagnani F, Mariani PP. Low-intensity pulsed ultrasound in the conservative treatment of pseudoarthrosis. J Sports Med Phys Fitness. 2004;44:173-8.
9. Gebauer D, Mayr E, Orthner E, Ryaby JP. Low-intensity pulsed ultrasound: effects on nonunions. Ultrasound Med Biol. 2005;31:1391-402.
10. Rutten S, Nolte PA, Guit GL, Bouman DE, Albers GH. Use of low-intensity pulsed ultrasound for posttraumatic nonunions of the tibia: a review of patients treated in the Netherlands. J Trauma. 2007;62:902-8.
11. Dijkman BG, Sprague S, Schemitsch EH, Bhandari M. When is a fracture healed? Radiographic and clinical criteria revisited. J Orthop Trauma. 2010;24(Suppl 1):S76-80.
12. Matsushita T, Watanabe Y. Chipping and lengthening technique for delayed unions and nonunions with shortening or bone loss. J Orthop Trauma. 2007;21:404-6.
13. Weber BG, Cech O. Pseudoarthrosis: Pathology, Biomechanics, Therapy, Results. Berne: Hans Huber Medical Publisher; 1976.
14. Paley D, Chaudray M, Pirone AM, Lentz P, Kautz D. Treatment of malunions and mal-nonunions of the femur and tibia by detailed preoperative planning and the Ilizarov techniques. Orthop Clin North Am. 1990;21:667-91.
15. Sharrard WJ. A double-blind trial of pulsed electromagnetic fields for delayed union of tibial fractures. J Bone Joint Surg Br. 1990;72:347-55.
16. Scott G, King JB. A prospective, double-blind trial of electrical capacitive coupling in the treatment of non-union of long bones. J Bone Joint Surg Am. 1994;76:820-6.
17. Claes L, Augat P, Suger G, Wilke HJ. Influence of size and stability of the osteotomy gap on the success of fracture healing. J Orthop Res. 1997;15:577-84.
18. Drosos GI, Bishay M, Karnezis IA, Alegakis AK. Factors affecting fracture healing after intramedullary nailing of the tibial diaphysis for closed and grade I open fractures. J Bone Joint Surg Br. 2006;88:227-31.
19. Bhandari M, Tornetta P 3rd, Sprague S, Najibi S, Petrisor B, Griffith L, Guyatt GH. Predictors of reoperation following operative management of fractures of the tibial shaft. J Orthop Trauma. 2003;17:353-61.
20. Augat P, Margevicius K, Simon J, Wolf S, Suger G, Claes L. Local tissue properties in bone healing: influence of size and stability of the osteotomy gap. J Orthop Res. 1998;16:475-81.
21. Jingushi S, Mizuno K, Matsushita T, Itoman M. Low-intensity pulsed ultrasound treatment for postoperative delayed union or nonunion of long bone fractures. J Orthop Sci. 2007;12:35-41.
22. Harvey EJ, Agel J, Selznick HS, Chapman JR, Henley MB. Deleterious effect of smoking on healing of open tibia-shaft fractures. Am J Orthop (Belle Mead NJ). 2002;31:518-21.
23. Hak DJ, Lee SS, Goulet JA. Success of exchange reamed intramedullary nailing for femoral shaft nonunion or delayed union. J Orthop Trauma. 2000;14:178-82.
24. Moghaddam A, Zimmermann G, Hammer K, Bruckner T, Grutzner PA, von Recum J. Cigarette smoking influences the clinical and occupational outcome of patients with tibial shaft fractures. Injury. 2011;42:1435-42.
25. Cook SD, Ryaby JP, McCabe J, Frey JJ, Heckman JD, Kristiansen TK. Acceleration of tibia and distal radius fracture healing in patients who smoke. Clin Orthop Relat Res. 1997;337:198-207.
26. Heckman JD, Sarasohn-Kahn J. The economics of treating tibia fractures. The cost of delayed unions. Bull Hosp Jt Dis. 1997;56:63-72.