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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Autores principales:	V.O. Fishchenko, L.O. Kylymniuk, O.P. Renkas, V.O. Lyshchuk
Formato:	article
Lenguaje:	EN UK
Publicado:	Danylo Halytsky Lviv National Medical University 2018
Materias:	nonunion, fracture healing complication, extracorporeal shockwave therapy, fractures of tubular bones, stimulation of reparative osteogenesis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/755d11ee4d7e4bba92c4836df0ccee96
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spelling	oai:doaj.org-article:755d11ee4d7e4bba92c4836df0ccee962021-11-10T19:50:04ZClinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones1029-42442415-330310.25040/aml2018.01.050https://doaj.org/article/755d11ee4d7e4bba92c4836df0ccee962018-02-01T00:00:00Zhttps://amljournal.com/index.php/journal/article/view/125https://doaj.org/toc/1029-4244https://doaj.org/toc/2415-3303Aim. 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.V.O. FishchenkoL.O. KylymniukO.P. RenkasV.O. LyshchukDanylo Halytsky Lviv National Medical Universityarticlenonunion, fracture healing complication, extracorporeal shockwave therapy, fractures of tubular bones, stimulation of reparative osteogenesisMedicine (General)R5-920ENUKActa Medica Leopoliensia, Vol 24, Iss 1, Pp 50-54 (2018)
institution	DOAJ
collection	DOAJ
language	EN UK
topic	nonunion, fracture healing complication, extracorporeal shockwave therapy, fractures of tubular bones, stimulation of reparative osteogenesis Medicine (General) R5-920
spellingShingle	nonunion, fracture healing complication, extracorporeal shockwave therapy, fractures of tubular bones, stimulation of reparative osteogenesis Medicine (General) R5-920 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
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.
format	article
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
title	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_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_sort	clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones
publisher	Danylo Halytsky Lviv National Medical University
publishDate	2018
url	https://doaj.org/article/755d11ee4d7e4bba92c4836df0ccee96
work_keys_str_mv	AT vofishchenko clinicalevaluationofefficiencyofextracorporealshockwavetherapyfornonunionoftubularbones AT lokylymniuk clinicalevaluationofefficiencyofextracorporealshockwavetherapyfornonunionoftubularbones AT oprenkas clinicalevaluationofefficiencyofextracorporealshockwavetherapyfornonunionoftubularbones AT volyshchuk clinicalevaluationofefficiencyofextracorporealshockwavetherapyfornonunionoftubularbones
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Clinical evaluation of efficiency of extracorporeal shockwave therapy for nonunion of tubular bones

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