High energy shock waves in the treatment of delayed and nonunion of fractures

✍ Scribed by V. D. Valchanou; P. Michailov

• Publisher: Springer
• Year: 1991
• Tongue: English
• Weight: 1014 KB
• Volume: 15
• Category: Article
• ISSN: 0341-2695
• DOI: 10.1007/bf00192289

✦ Synopsis

Military Medical A c a d e m y , Sofia, Bulgaria Summary. The treatment of delayed and nonunion o f fractures by a single extracorporeal dose of high energy shock waves generated in a water medium and focused on the fracture site is reported. The shock waves break up sclerotic bone by producing microfissures and numerous bony fragments because of the difference in impedance between bone (and calculi) and soft tissues. Osteogenesis is stimulated and contributed to union in 70 out of 82 fractures within a reasonable time. Treatment was given as an outpatient with regional anaesthesia; there were no side effects or complications.

R6sum~. Prbsentation d'une mbthode nouvelle de traitement des pseudarthroses et des retards de consolidation, non invasive, non chirurgicale et pourant

Otre rbalisbe en une seule sbance, sous anesthdsie rbgionale, sans hospitalisation. Les auteurs utilisent des ondes de choc de haute bnergie, gkndrbes en milieu aqueux, qui traversent les parties molles et atteignent &foyer de fracture. Du fait de la diffkrence d'impddance entre l'os (ou les calculs) et les tissus mous, le choc brise les extr~mitks osseuses sclbrosbes, produisant des micro-fissures et de multiples petits fragments osseux, ce qui stimule l'ostbo-gdnOse. La consolidation a dtd obtenue dans des dblais raisonnables dans 70 cas sur 82. II n'y a eu ni effets indbsirables, ni complications.