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Pseudoartrosis y retardos de consolidación ósea

PROTOCOLO FOCAL

Valores del protocolo focal


Pulsos: 3000-5000

Energía en ponderación a los pulsos a aplicar:  0,18 mJ/mm2 a 0,47 mJ/mm2

Tratamientos: 1 únicas sesión con revisión a los 30.

Frecuencia: 8 Hz

Intensidad: 13-15


ESTUDIOS

ISSN: 0932-0814 High energy focused shock wave therapy accelerates bone healing. https://www.ncbi.nlm.nih.gov/pubmed/26449666


Publications with evidence level from Ib to IIb (Pubmed27.04.2018):


Cacchio, A., Giordano, L., Colafarina, O., Rompe, J. D., Tavernese, E., Ioppolo, F., Flamini, S., Spacca, G., and Santilli, V. Extracorporeal shock-wave therapy compared with surgery for hypertrophic long-bone nonunions. J Bone Joint Surg Am 91, 11 (Nov 2009), 2589-97.


Furia, J. P., Juliano, P. J., Wade, A. M., Schaden, W., and Mittermayr, R. Shock wave ther- apy compared with intramedullary screw fixation for nonunion of proximal fifth metatarsal metaphyseal-diaphyseal fractures. J Bone Joint Surg Am 92, 4 (Apr 2010), 846-54.


Stojadinovic, A., Kyle Potter, B., Eberhardt, J., Shawen, S. B., Andersen, R. C., Fors- berg, J. A., Shwery, C., Ester, E. A., and Schaden, W. Development of a prognostic naive bayesian classifier for successful treatment of nonunions. J Bone Joint Surg Am 93, 2 (Jan 2011), 187- 94.


Notarnicola, A., Moretti, L., Tafuri, S., Gigliotti, S., Russo, S., Musci, L., and Moretti, B. Extracorporeal shockwaves versus surgery in the treatment of pseudoarthrosis of the carpal scaphoid. Ultrasound Med Biol 36, 8 (Aug 2010), 1306-13.


Other publications:


Haupt, G., et al: Enhancement of fracture healing with extracorporeal shock waves. AUA Annual Meeting, New Orleans 1990.

Valchanov, V. D. and Michailov, P.: High energy shock waves in the treatment of delayed and non-union of fractures. Int Orthop 15, 3 (1991), 181-184.


Beutler S, Regel G, Pape HC, Machtens S, Weinberg AM, Kremeike I, Jonas U, Tscherne H.: Extracorporeal shock wave therapy for delayed union of long bone fractures - preliminary results of a prospective cohort study. Trauma Surgeon. 1999 Nov;102(11):839-47.


Ikeda K, Tomita K, Takayama K.: Application of extracorporeal shock wave on bone: preliminary report. J Trauma. 1999 Nov;47(5):946-50.


Rompe JD, Rosendahl T, Schöllner C, Theis C. High-energy extracorporeal shock wave treatment of non-unions. ClinOrthopRelat Res. 2001 Jun;(387):102-11.


Wang CJ, Chen HS, Chen CE, Yang KD: Treatment of non-unions of long bone fractures with shock waves. Clin Orthop Relat Res. 2001 Jun;(387):95-101.


Schaden W, Fischer A, Sailler A.: Extracorporeal shock wave therapy of non-union or delayed osseous union. Clin Orthop Relat Res. 2001 Jun;(387):90-4.


Wang FS, Yang KD, Wang CJ, Huang HC, Chio CC, Hsu TY, et al. Shockwave stimulates oxygen radical-mediated osteogenesis of the mesenchymal cells from human umbilical cord blood. J Bone Miner Res 2004 Jun;19(6):973-82.


Chen YJ, Kuo YR, Yang KD, Wang CJ, Sheen Chen SM, Huang HC, et al. Activation of extracellular signal-regulated kinase (ERK) and p38 kinase in shock wave-promoted bone formation of segmental defect in rats. Bone 2004 Mar;34(3):466-77.


Wang CJ, Liu HC, Fu TH.: The effects of extracorporeal shockwave on acute high- energy long bone fractures of the lower extremity. Arch Orthop Trauma Surg. 2007 Feb;127(2):137-42.


Bara T, Synder M.: Nine-years’ experience with the use of shock waves for treatment of bone union disturbances. Ortop Traumatol Rehabil. 2007 May-Jun;9(3):254-8.


Wang CJ, Wang FS, Yang KD: Biological effects of extracorporeal shockwave in bone healing: a study in rabbits. Archives of orthopaedic and trauma surgery 2008, 128:879- 884.


Xu ZH, Jiang Q, Chen DY, Xiong J, Shi DQ, Yuan T, et al. Extracorporeal shock wave treatment in nonunions of long bone fractures. Int Orthop 2009 Jun;33(3):789-93.



Wang CJ, Yang KD, Ko JY, Huang CC, Huang HY, Wang FS.: The effects of shockwave on bone healing and systemic concentrations of nitric oxide (NO),TGF- beta1, VEGF and BMP-2 in long bone non-unions. Nitric Oxide. 2009 Jun;20(4):298- 303.


Elster EA, Stojadinovic A, Forsberg J, Shawen S, Andersen RC, Schaden W.: Extracorporeal shock wave therapy for non-union of the tibia. J Orthop Trauma. 2010 Mar;24(3):133-41.


Zelle B A, Gollwitzer H, Zlowodzki M, Buhren V: Extracorporeal shock wave therapy: current evidence.J Orthop Trauma 2010;24:S66-S70.


Furia, J. P., Rompe, J. D., Cacchio, A., and Maffulli, N. Shock wave therapy as a treatment of non-unions, avascular necrosis, and delayed healing of stress fractures. Foot Ankle Clin 15, 4 (Dec 2010), 651-62.


Cacchio A, Giordano L, Colafarina O, Rompe JD, Tavernese E, Ioppolo F, Flamini S, Spacca G, Santilli V. Extracorporeal shock-wave therapy compared with surgery for hypertrophic long-bone non-unions. J Bone Joint Surg Am. 2010 May;92(5).


Ayeni OR, Busse JW, Bhandari M.: Using extracorporeal shock-wave therapy for healing long-bone non-unions. Clin J Sport Med. 2011 Jan;21(1):74-5.


Stojadinovic A, Kyle Potter B, Eberhardt J, Shawen SB, Andersen RC, Forsberg JA, Shwery C, Ester EA, Schaden W.: Development of a prognostic naive Bayesian classifier for successful treatment of non-unions. J Bone Joint Surg Am. 2011 Jan;93(2):187-94.


Xu JK, Chen HJ, Li XD, Huang ZL, Xu H, Yang HL, et al. Optimal intensity shock wave promotes the adhesion and migration of rat osteoblasts via integrin beta1-mediated expression of phosphorylated focal adhesion kinase. J BiolChem 2012 Jul 27;287(31):26200-12.


Sun D, Junger WG, Yuan C, Zhang W, Bao Y, Qin D, et al. Shockwaves induce osteogenic differentiation of human mesenchymal stem cells through ATP release and activation of P2X7 receptors. Stem Cells 2013 Jun;31(6):1170-80.


Schaden W, Mittermayr R, Haffner N, Smolen D, Gerdesmeyer L, Wang C-J, Extracorporeal shockwave therapy (ESWT) e First choice treatment of fracture non- unions? International Journal of Surgery 24 (2015) 179 - 183


Alkhawashki H M I, Shock wave therapy of fracture nonunion. (2015). Injury, 46(11):2248-52.


Kertzman P, Lenza M, Pedrinelli A, Ejnisman B, Shockwave treatment for musculoskeletal diseases and bone consolidation: qualitative analysis of the literature. (2015). Rev Bras Ortop, 50(1):3-8.


Kuo S-J, Su I-C, Wang C-J, Ko J-Y, Extracorporeal shockwave therapy (eswt) in the treatment of atrophic non-unions of femoral shaft fractures. (2015). Int J Surg, 24(Pt B):131-134.


Everding J, Freistühler M, Stolberg-Stolberg J, Raschke M J, Garcia P, Extracorporeal shock wave therapy for the treatment of pseudarthrosis: New experiences with an old technology. The Trauma Surgeon. (2016).


Zhai L, Ma X-L, Jiang C, Zhang B, Liu S.-T, Xing G-Y, Human autologous mesenchymal stem cells with extracorporeal shock wave therapy for nonunion of long bones. Indian J Orthop, 2016 50(5):543-550.


Haffner N, Antonic V, Smolen D, Slezak P, Schaden W, Mittermayr R, Stojadinovic A, Extracorporeal shockwave therapy (eswt) ameliorates healing of tibial fracture non- union unresponsive to conventional therapy. (2016) Injury, 47(7):1506-13.