Extracorporeal Shockwaves Versus Surgery in the Treatment of Pseudoarthrosis of the Carpal Scaphoid

Notarnicola, Angela; Moretti, Luigi; Tafuri, Silvio; Gigliotti, S.; Russo, Sergio; Musci, L.; Moretti, Biagio

doi:10.1016/j.ultrasmedbio.2010.05.004

Cited by 31 publications

(38 citation statements)

References 42 publications

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“…According to the literature, ESWT is also used in musculoskeletal system for fracture healing and nonunion treatment, as well as calcific tendinitis and pseudoarthrosis. [2][3][4][5][6] In our study, we aimed to show the effect of ESWT on fracture healing in periosteum deficient open fractures. Fractures with deficient periosteum and surrounding soft tissues are under risk of nonunion or delayed union.…”

Section: Discussionmentioning

confidence: 99%

“…Atrophic nonunions seem to have a poorer outcome in comparison with the hypertrophic nonunions in shock wave therapy. [4] Notarnicola et al [5] compared ESWT and standard surgery in scaphoid nonunion at 350 patients. They showed no significant difference between two groups at the 2 nd , 6 th and 12 th months follow-up according to radiographic consolidation or the Mayo Wrist Score.…”

Section: Discussionmentioning

confidence: 99%

“…They suggest that shock wave therapy should be considered as the second choice of treatment in the cases which show clinical and radiographic healing delay after surgical stabilization. [5] In conclusion, ESWT has been studied as a nonsurgical way to achieve fracture healing. Thanks to its advantages such as noninvasiveness, ease to apply and low complication rate, ESWT has been widely used in the treatment of nonunions in various experimental and clinical studies.…”

Section: Discussionmentioning

confidence: 99%

“…[2] The effect of ESWT in non-and delayed union of fractures is reported in many studies. [3][4][5] None of these studies evaluates the primary fracture with regard to fracture hematoma and periosteum loss. In this study, we aimed to compare the effect of ESWT on fractures with intact periosteum and excised periosteum.…”

Section: Objectivesmentioning

confidence: 99%

See 3 more Smart Citations

Effect of extracorporeal shock wave therapy on fracture healing in rat femural fractures with intact and excised periosteum

Oktaş¹

2014

Eklem Hastalik Cerrahisi

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Objectivesmentioning

confidence: 99%

See 2 more Smart Citations

Effect of extracorporeal shock wave therapy on fracture healing in rat femural fractures with intact and excised periosteum

Oktaş¹

2014

Eklem Hastalik Cerrahisi

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“…4). Schaden et al [26] Weitere Fall-Kontroll-Studien für die Behandlung von Skaphoidpseudarthrosen sowie Pseudarthrosen der Metatarsale-V-Basis ergaben ebenfalls vergleichbare Heilungschancen nach Behandlung mittels ESWT gegenüber der operativen Therapie [12,24].…”

Section: Konsolidierungsraten Und Einflussfaktoren Der Stoßwellentherunclassified

Ultraschall und Stoßwelle in der Pseudarthrosentherapie

Everding

Roßlenbroich

Raschke

2017

Trauma Berufskrankh

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Focused high‐energy extracorporeal shockwaves as supplemental treatment in a rabbit model of fracture‐related infection

Puetzler

Milstrey

Everding

et al. 2019

Journal Orthopaedic Research

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Focused high‐energy extracorporeal shockwave therapy (fhESWT) is used to improve fracture healing in cases of nonunion. In addition, it has been shown to have direct antibacterial effects. We evaluated fhESWT as an adjunct to conventional treatment in a clinically relevant rabbit model of fracture‐related infection (FRI). A humeral osteotomy in 31 rabbits was fixed with a seven‐hole locking compression plate. FRI was established with a clinical Staphylococcus aureus isolate. After 2 weeks, a revision surgery was performed with debridement, irrigation, and implant retention. Rabbits then received: no further treatment (controls); shockwaves (4000 impulses with 23 kV at days 2 and 6 after revision); systemic antibiotics (rifampin and nafcillin); or the combination of antibiotics and shockwaves. Treatments were applied over 1 week. Blood cultures were taken before and after shockwave sessions. After another week without treatment, rabbits were euthanized and quantitative bacteriology was performed on implants and tissues to determine infection burden. Indicator organs (brain, heart, liver, lungs, kidneys, and spleen) were cultured to assess possible bacteremia. All the rabbits were infected at revision surgery as determined by the bacteriological culture of debrided materials. fhESWT in combination with antibiotic treatment lowered the bacterial burden 100‐fold compared with antibiotic treatment alone in all samples (P = .38). This effect was most prevalent for the implant sample (P = .08). No significant effect was seen for fhESWT alone compared with untreated controls. No signs of bacteremia occurred in blood cultures and organs. fhESWT appears safe and could be a helpful adjunct to conventional treatment in certain difficult‐to‐treat FRIs.

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Extracorporeal Shockwaves Versus Surgery in the Treatment of Pseudoarthrosis of the Carpal Scaphoid

Cited by 31 publications

References 42 publications

Effect of extracorporeal shock wave therapy on fracture healing in rat femural fractures with intact and excised periosteum

Effect of extracorporeal shock wave therapy on fracture healing in rat femural fractures with intact and excised periosteum

Ultraschall und Stoßwelle in der Pseudarthrosentherapie

Focused high‐energy extracorporeal shockwaves as supplemental treatment in a rabbit model of fracture‐related infection

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