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Role of pulsed electromagnetic fields after joint replacements
Giada Lullini1, Eugenio Cammisa2, Stefania Setti3
1Laboratorio di Analisi del Movimento e di valutazione funzionale protesi, IRCCS Istituto Ortopedico Rizzoli - DIBINEM - University of Bologna, Bologna 40100, Italy.
World Journal of Orthopedics
|June 24, 2020
Summary
Pulsed Electro Magnetic Fields (PEMFs) can improve recovery after joint replacement surgery by reducing pain and inflammation. This treatment, though not standard practice, shows promise for enhancing patient outcomes and satisfaction.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Regenerative Medicine
Background:
- High rates of post-joint replacement pain persist, impacting patient satisfaction.
- Chronic inflammation and suboptimal implant survivorship remain challenges in arthroplasty.
- Pulsed Electro Magnetic Fields (PEMFs) were previously suggested for bone ingrowth and inflammation reduction but are not widely adopted.
Purpose of the Study:
- To review existing literature on the effects of PEMFs in joint replacement surgery.
- To analyze clinical studies and current indications for PEMFs in arthroplasty.
- To evaluate PEMFs' impact on recovery, pain, and patient satisfaction in hip, knee, and shoulder arthroplasty.
Main Methods:
- Systematic review of prospective studies and randomized controlled trials (RCTs).
- Inclusion of studies investigating PEMFs in total hip, knee, or shoulder arthroplasty.
- Focus on outcomes related to patient recovery, pain relief, and satisfaction.
Main Results:
- All analyzed studies reported no adverse effects associated with PEMFs treatment.
- Patients demonstrated good compliance with PEMFs therapy.
- PEMFs show potential for early control of post-operative joint inflammation.
Conclusions:
- Early application of PEMFs post-joint replacement surgery can effectively manage inflammation.
- PEMFs treatment represents a valuable adjunct to surgical procedures for improving functional recovery.
- Further integration of PEMFs into clinical practice could enhance patient outcomes in arthroplasty.

