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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Erratum to "Evaluation of MoPyC-prosthesis implantation and the use of angular stable plates in the treatment of comminuted radial head fractures" [J. Orthop. 16 (2019) 288-293].

Journal of orthopaedics·2020
Same author

[Non Unions].

Der Unfallchirurg·2020
Same author

Use of Masquelet technique in treatment of septic and atrophic fracture nonunion.

Injury·2019
Same author

Evaluation of MoPyC-prosthesis implantation and the use of angular stable plates in the treatment of comminuted radial head fractures.

Journal of orthopaedics·2019
Same author

Evaluation of MoPyC-prosthesis implantation and the use of angular stable plates in the treatment of comminuted radial head fractures.

Journal of orthopaedics·2019
Same author

Options and limits of angle stable plates in the treatment of comminuted radial head fractures.

Journal of orthopaedics·2018

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[Conservative treatment options for non-unions].

T Großner1, G Schmidmaier2

  • 1Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Klinik für Orthopädie und Unfallchirurgie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200A, 69118, Heidelberg, Deutschland. tobias.grossner@med.uni-heidelberg.de.

Der Unfallchirurg
|August 14, 2020
PubMed
Summary

Non-unions, a common fracture complication, can often be treated non-surgically. Conservative methods like ultrasound therapy can heal fractures in 63-94% of cases with minimal side effects.

Keywords:
Electromagnetic fieldsExtracorporeal shockwave lithotripsyFracture healingLow-intensity pulsed ultrasoundTreatment outcome

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Area of Science:

  • Orthopedic surgery
  • Bone healing research
  • Regenerative medicine

Background:

  • Non-unions affect 5-10% of fractures, varying by anatomical location.
  • Untreated non-unions will not heal.
  • Surgical interventions have a 75-85% success rate.

Purpose of the Study:

  • To explore conservative treatment options for non-unions.
  • To evaluate the efficacy of non-invasive procedures.

Main Methods:

  • Review of conservative treatment modalities.
  • Analysis of conditions favoring non-surgical healing.

Main Results:

  • Basic measures like comorbidity optimization and risk factor reduction aid healing.
  • Advanced treatments like low-intensity pulsed ultrasound (LIPUS) and extracorporeal shockwave therapy (EWST) can obviate surgery in 63-94% of cases.
  • These therapies have few side effects and lower costs but require patient compliance.

Conclusions:

  • Conservative treatment is viable for non-unions under specific conditions.
  • Optimal preconditions include stable osteosynthesis, absence of infection, proper alignment, and small defect size (<5mm).
  • Experienced physicians should determine the suitability of conservative treatment for each patient.