Valchanou V D, Michailov P
Military Medical Academy, Sofia, Bulgaria.
Int Orthop. 1991;15(3):181-4. doi: 10.1007/BF00192289.
The treatment of delayed and nonunion of fractures by a single extracorporeal dose of high energy shock waves generated in a water medium and focused on the fracture site is reported. The shock waves break up sclerotic bone by producing microfissures and numerous bony fragments because of the difference in impedance between bone (and calculi) and soft tissues. Osteogenesis is stimulated and contributed to union in 70 out of 82 fractures within a reasonable time. Treatment was given as an outpatient with regional anaesthesia; there were no side effects or complications.
报告了通过在水介质中产生并聚焦于骨折部位的单次体外高能冲击波治疗骨折延迟愈合和不愈合的情况。由于骨（和结石）与软组织之间的阻抗差异，冲击波通过产生微裂缝和大量骨碎片来分解硬化骨。在合理时间内，82例骨折中有70例刺激了骨生成并促进了愈合。治疗在门诊采用局部麻醉进行；无副作用或并发症。
