High-energy extracorporeal shockwave therapy in humeral delayed and non-unions.
Introduction: Within the last few decades, focused high-energy extracorporeal shockwave therapy (ESWT) has proven to be an effective alternative to standard of care revision surgery in delayed healing fractures or manifest non-unions in various anatomical regions. Materials and methods: A retrospect...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 48; no. 4; pp. 3043 - 3050 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158431641&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158431641 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Aug2022 vid: 48 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 158431641 152434710 158431641 158431641 10.1007/s00068-021-01782-1 158431641 ppf: 3043 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: High-energy extracorporeal shockwave therapy in humeral delayed and non-unions. aug: au: Dahm, Falko Feichtinger, Xaver Vallant, Sascha-Mario Haffner, Nicolas Schaden, Wolfgang Fialka, Christian Mittermayr, Rainer affil: AUVA Trauma Center Meidling, Kundratstr. 37, 1120, Vienna, Austria sug: subj: Ultrasonic Therapy Methods Humeral Fractures Rehabilitation Fractures, Ununited Rehabilitation Fracture Healing Evaluation Treatment Outcomes Evaluation Human Retrospective Design Multivariate Analysis Trauma Centers Humeral Fractures Radiography Fractures, Ununited Radiography Tomography, X-Ray Computed Prospective Studies Descriptive Statistics Diaphyses Regression Age Factors Fracture Dislocation Male Female Adolescence Young Adult Adult Middle Age Aged Aged, 80 and Over Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Introduction: Within the last few decades, focused high-energy extracorporeal shockwave therapy (ESWT) has proven to be an effective alternative to standard of care revision surgery in delayed healing fractures or manifest non-unions in various anatomical regions. Materials and methods: A retrospective multi-variant analysis of an open prospective, single-armed clinical study was conducted. Patients receiving focused high-energy ESWT for a delayed healing or an apparent non-union of a humeral fracture between January 1999 and December 2015 at a single trauma center were included in the study. Bony healing was defined as cortical continuity in three of four cortices and pain-free force loading and evaluated using CT scans and clinical examination at three- and six-month follow-ups after ESWT. Results: A total of 236 patients were included. N = 93 (43.8%) showed bony consolidation three months after ESWT and n = 105 (52.5%) after six months. Sub-group analysis showed significantly better healing for the proximal metaphyseal humerus (66.7% after six months, n = 42) compared to the diaphyseal region (48.1%, n = 133) and distal metaphyseal humerus (48.1%, n = 25). Regression analysis indicated significantly increased healing rates for patients of younger ages (p = 0.001) and a fracture diastasis of less than 5 mm (p = 0.002). Conclusion: The findings of this study indicate that ESWT can be considered as a treatment option for a well-selected patient population despite the lower healing rates compared to other anatomical regions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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