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International Orthopaedics
Published in: International Orthopaedics 3/2009

01-06-2009 | Original Paper

Extracorporeal shock wave treatment in nonunions of long bone fractures

Authors: Zhi-Hong Xu, Qing Jiang, Dong-Yang Chen, Jin Xiong, Dong-Quan Shi, Tao Yuan, Xiao-Lin Zhu

Published in: International Orthopaedics | Issue 3/2009

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Abstract

We reviewed the clinical results of the past 7 years in order to investigate the effect of extracorporeal shock wave therapy (ESWT) in nonunions of long bone fracture. Sixty-nine patients with 69 nonunions (22 femora, 28 tibiae, 13 humeri, 5 radii, and 1 ulna) were treated with extracorporeal shock waves. The technical parameters were 6,000 to 10,000 impulses at 28 kV (0.62 mJ/mm2 energy flux density) for the femur and tibia, 4,000 impulses at 24 kV for the humerus (0.56 mJ/mm2 energy flux density), and 3,000 impulses at 24 kV (0.56 mJ/mm2 energy flux density) for the radius and ulna. Sixty-six patients were followed up. The total successful rate of bony union was 75.4%. ESWT was successful in hypertrophic nonunions and seemed to have no evident effect in atrophic nonunions. We believe that extracorporeal shock wave therapy may be a good choice for nonunions of long bone fracture especially in hypertrophic nonunions.
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Metadata
Title
Extracorporeal shock wave treatment in nonunions of long bone fractures
Authors
Zhi-Hong Xu
Qing Jiang
Dong-Yang Chen
Jin Xiong
Dong-Quan Shi
Tao Yuan
Xiao-Lin Zhu
Publication date
01-06-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 3/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0553-8

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