Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones
Aim. To establish the efficiency of using focal extracorporeal shockwave therapy for nonunion of tubular bones. Material and Methods. Forty-two patients with nonunion of tubular bones were examined and distributed into two groups: 23 (54.76%) patients were included in the study group, and 19 (45....
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| Format: | Article |
| Language: | English |
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Danylo Halytsky Lviv National Medical University
2018-02-01
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| Series: | Acta Medica Leopoliensia |
| Subjects: | |
| Online Access: | https://amljournal.com/index.php/journal/article/view/125 |
| _version_ | 1818740792422825984 |
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| author | V.O. Fishchenko L.O. Kylymniuk O.P. Renkas V.O. Lyshchuk |
| author_facet | V.O. Fishchenko L.O. Kylymniuk O.P. Renkas V.O. Lyshchuk |
| author_sort | V.O. Fishchenko |
| collection | DOAJ |
| description | Aim. To establish the efficiency of using focal extracorporeal shockwave therapy for nonunion of tubular bones.
Material and Methods. Forty-two patients with nonunion of tubular bones were examined and distributed into two groups: 23 (54.76%) patients were included in the study group, and 19 (45.24%) - in the control group. The patients of the study group underwent 4-7 procedures of focal shockwave therapy by Swiss DolorClast. Patients in the control group were treated surgically. The results of treatment were evaluated using the Neer-Grantham-Shelton (1967) scale in the modification of D. Cherkes-Zade, M. Monesi, A. Causero, and M. Marcolini (2003). The probability of an error-free prediction was set at pЈ0.05. Statistical processing of the obtained results was performed using Statistica 10 program.
Results and Discussion. On comparison of the long-term results of treatment in the patients of the study group, there were significantly better indicators that showed an anatomical shortening of the segment (p=0.01) and work capacity restoration (p=0.048), compared to patients in the control group. According to the indicators of severity of pain, limitation of movements, X-ray changes and total results of treatment, no significant difference was found between the groups (p> 0.05).
Conclusions. The absence of a significant difference in the total results of surgical treatment and the use of conservative stimulation of reparative osteogenesis may allow implementation of focal extracorporeal shockwave therapy as an alternative treatment for nonunion. |
| first_indexed | 2024-12-18T01:46:21Z |
| format | Article |
| id | doaj.art-755d11ee4d7e4bba92c4836df0ccee96 |
| institution | Directory Open Access Journal |
| issn | 1029-4244 2415-3303 |
| language | English |
| last_indexed | 2024-12-18T01:46:21Z |
| publishDate | 2018-02-01 |
| publisher | Danylo Halytsky Lviv National Medical University |
| record_format | Article |
| series | Acta Medica Leopoliensia |
| spelling | doaj.art-755d11ee4d7e4bba92c4836df0ccee962022-12-21T21:25:10ZengDanylo Halytsky Lviv National Medical UniversityActa Medica Leopoliensia1029-42442415-33032018-02-01241505410.25040/aml2018.01.050125Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bonesV.O. Fishchenko0L.O. Kylymniuk1O.P. Renkas2V.O. Lyshchuk3The M.I. Pyrogov National Medical University in VinnytsyaThe M.I. Pyrogov National Medical University in VinnytsyaCommunal Nonprofit Enterprise "Consulting and Diagnostic Center №2 Darnica's District, Kyiv"The M.I. Pyrogov National Medical University in VinnytsyaAim. To establish the efficiency of using focal extracorporeal shockwave therapy for nonunion of tubular bones. Material and Methods. Forty-two patients with nonunion of tubular bones were examined and distributed into two groups: 23 (54.76%) patients were included in the study group, and 19 (45.24%) - in the control group. The patients of the study group underwent 4-7 procedures of focal shockwave therapy by Swiss DolorClast. Patients in the control group were treated surgically. The results of treatment were evaluated using the Neer-Grantham-Shelton (1967) scale in the modification of D. Cherkes-Zade, M. Monesi, A. Causero, and M. Marcolini (2003). The probability of an error-free prediction was set at pЈ0.05. Statistical processing of the obtained results was performed using Statistica 10 program. Results and Discussion. On comparison of the long-term results of treatment in the patients of the study group, there were significantly better indicators that showed an anatomical shortening of the segment (p=0.01) and work capacity restoration (p=0.048), compared to patients in the control group. According to the indicators of severity of pain, limitation of movements, X-ray changes and total results of treatment, no significant difference was found between the groups (p> 0.05). Conclusions. The absence of a significant difference in the total results of surgical treatment and the use of conservative stimulation of reparative osteogenesis may allow implementation of focal extracorporeal shockwave therapy as an alternative treatment for nonunion.https://amljournal.com/index.php/journal/article/view/125nonunion, fracture healing complication, extracorporeal shockwave therapy, fractures of tubular bones, stimulation of reparative osteogenesis |
| spellingShingle | V.O. Fishchenko L.O. Kylymniuk O.P. Renkas V.O. Lyshchuk Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones Acta Medica Leopoliensia nonunion, fracture healing complication, extracorporeal shockwave therapy, fractures of tubular bones, stimulation of reparative osteogenesis |
| title | Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones |
| title_full | Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones |
| title_fullStr | Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones |
| title_full_unstemmed | Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones |
| title_short | Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones |
| title_sort | clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones |
| topic | nonunion, fracture healing complication, extracorporeal shockwave therapy, fractures of tubular bones, stimulation of reparative osteogenesis |
| url | https://amljournal.com/index.php/journal/article/view/125 |
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