Skip Navigation
Skip to contents

J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

OPEN ACCESS

Articles

Page Path
HOME > J Musculoskelet Trauma > Volume 24(4); 2011 > Article
Case Report
Treatment of Nonunion of Tibia with Extracorporeal Shock Wave Therapy: A Case Report
Seung Yong Sung, M.D., Han Kook Yoon, M.D., Jeung-Yeul Jung, M.D.
Journal of the Korean Fracture Society 2011;24(4):367-370.
DOI: https://doi.org/10.12671/jkfs.2011.24.4.367
Published online: October 30, 2011

Department of Orthopedic Surgery, Ilsan Hospital of National Health Insurance Corporation, Goyang, Korea.

Address reprint requests to: Han Kook Yoon, M.D. Department of Orthopedics, National Health Insurance Corporation Ilsan Hospital, 1232, Baekseok-dong, Ilsandong-gu, Goyang 411-360, Korea. Tel: 82-31-900-0227, Fax: 82-31-900-0343, hangugi@gmail.com
• Received: March 28, 2010   • Revised: May 2, 2010   • Accepted: August 22, 2010

Copyright © 2011 The Korean Fracture Society

  • 130 Views
  • 0 Download
prev next
  • Almost tibia fractures can be surgically treated, but nonunion may occur in 10~30%, and they may accompany various complications by operation. This research was designed to review literatures and report a case of patient with nonunion of the tibia that showed good result when performing the extracorporeal shock wave therapy as a conservative treatment.
  • 1. Augat P, Claes L, Suger G. In vivo effect of shock-waves on the healing of fractured bone. Clin Biomech (Bristol, Avon), 1995;10:374-378.Article
  • 2. Forriol F, Solchaga L, Moreno JL, Canãdell J. The effect of shockwaves on mature and healing cortical bone. Int Orthop, 1994;18:325-329.ArticlePDF
  • 3. Tamma R, dell'Endice S, Notarnicola A, et al. Extracorporeal shock waves stimulate osteoblast activities. Ultrasound Med Biol, 2009;35:2093-2100.Article
  • 4. Wang CJ, Chen HS, Chen CE, Yang KD. Treatment of nonunions of long bone fractures with shock waves. Clin Orthop Relat Res, 2001;(387):95-101.
  • 5. Wang CJ, Huang HY, Chen HH, Pai CH, Yang KD. Effect of shock wave therapy on acute fractures of the tibia: a study in a dog model. Clin Orthop Relat Res, 2001;(387):112-118.
  • 6. 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;127:137-142.
  • 7. Wang CJ, Yang KD, Wang FS, Hsu CC, Chen HH. Shock wave treatment shows dose-dependent enhancement of bone mass and bone strength after fracture of the femur. Bone, 2004;34:225-230.
  • 8. Zelle BA, Gollwitzer H, Zlowodzki M, Bühren V. Extracorporeal shock wave therapy: current evidence. J Orthop Trauma, 2010;24:Suppl 1. S66-S70.
Fig. 1
(A) The radiograph shows transverse fracture line of the tibia.
(B) 5 months after conservative care, in anteroposterior and lateral view union was not shown (TD: trauma day).
jkfs-24-367-g001.jpg
Fig. 2
This photo shows HMT EvoTron® RFL0300 (Health Medical Technology, Kreuzlinger, Switzerland).
jkfs-24-367-g002.jpg
Fig. 3
The radiographs of the tibia show nonunion on anteromedial aspect of fracture site before extracorporeal shock wave therapy (ESWT). At 5 weeks, 10 weeks, 4 months and 10 months and 16months after ESWT radiographs show callus formation and bony union achieved (mons: months).
jkfs-24-367-g003.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  

      • Cite
        CITE
        export Copy Download
        Close
        Download Citation
        Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

        Format:
        • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
        • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
        Include:
        • Citation for the content below
        Treatment of Nonunion of Tibia with Extracorporeal Shock Wave Therapy: A Case Report
        J Korean Fract Soc. 2011;24(4):367-370.   Published online October 31, 2011
        Close
      • XML DownloadXML Download
      Figure
      • 0
      • 1
      • 2
      We recommend
      Treatment of Nonunion of Tibia with Extracorporeal Shock Wave Therapy: A Case Report
      Image Image Image
      Fig. 1 (A) The radiograph shows transverse fracture line of the tibia. (B) 5 months after conservative care, in anteroposterior and lateral view union was not shown (TD: trauma day).
      Fig. 2 This photo shows HMT EvoTron® RFL0300 (Health Medical Technology, Kreuzlinger, Switzerland).
      Fig. 3 The radiographs of the tibia show nonunion on anteromedial aspect of fracture site before extracorporeal shock wave therapy (ESWT). At 5 weeks, 10 weeks, 4 months and 10 months and 16months after ESWT radiographs show callus formation and bony union achieved (mons: months).
      Treatment of Nonunion of Tibia with Extracorporeal Shock Wave Therapy: A Case Report

      J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
      Close layer
      TOP