Extracorporeal shockwave therapy (ESWT) - First choice treatment of fracture non-unions?

[摘要] Fracture non-unions are still a challenging problem in orthopedics. The treatment of non-unions remains highly individualized, complex, and demanding. In most countries the surgical approach with debridement of the non-union gap, anatomical reduction and appropriate osteosynthesis along with autologous bone grafting is considered as the standard of care. One of the very first non-urologic applications of extracorporeal shockwave treatment (ESWT) concerned non-healing fractures. Since the early 1990ties the knowledge of the working mechanism has increased enormously. The purpose of this review article is to demonstrate by peer-reviewed literature in conjunction with our own experiences that ESWT can be an efficient, non-invasive, almost complication-free and cost effective alternative to surgical treatment of non-healing fractures. (C) 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

[发布日期] 2015-12-01

[关键词] Extracorporeal shockwave therapy;ESWT;Non-union;Pseudarthroses;Non-healing fractures