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Outcomes of the Treatment of Fracture Non-union Using Combined Magnetic Field Bone Growth Stimulation: Experiences From a UK Trauma Unit.

作者信息

Sibanda Vusumuzi, Anazor Fitzgerald, Relwani Jai, Dhinsa Baljinder S

机构信息

Trauma and Orthopaedics, William Harvey Hospital, Ashford, GBR.

出版信息

Cureus. 2022 May 18;14(5):e25100. doi: 10.7759/cureus.25100. eCollection 2022 May.


DOI:10.7759/cureus.25100
PMID:35733483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9205291/
Abstract

INTRODUCTION: Fracture non-union is a distressing diagnosis for both patients and clinicians. Several methods have been tried to help promote bone healing. Some of the non-operative strategies include the use of pulsed ultrasound and electrical or magnetic bone stimulators. This study aimed at assessing the outcomes of patients treated with combined magnetic field (CMF) bone stimulators. METHODS: All patients with confirmed fracture non-union treated using a CMF bone growth stimulator between May 2019 and December 2021 were included in the study. These were followed up at regular three-month intervals and monitored for signs of clinical and radiological union. The minimum patient follow-up was six months. Our primary outcome measure was union rates following CMF treatment. The secondary outcome measures were time to union and fracture type/configuration in relation to non-union. RESULTS: A total of 29 patients were included. Of the patients, 52% were female. The average age of the patients was 53.42 years (SD: 17.66 years). Four were excluded because their follow-up period was less than six months. Patients were started on CMF bone growth stimulant treatment between four and 27 months from the initial fracture (mean: 11.56 months). The majority of the patients had tibial shaft (21%), distal femur (17%), ankle (10%) and distal humerus (10%) fractures. The overall success rate was 84% (n=21), with a mean time to union of 6.62 months. CONCLUSION: Bone growth stimulators using combined magnetic fields are a viable treatment option for established fracture non-union. They can result in improved outcomes and can avoid risks and costs associated with surgical options to treat non-union. However, more studies need to be conducted to establish the efficacy of these methods conclusively.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ffc/9205291/e17a098f97ea/cureus-0014-00000025100-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ffc/9205291/6447fbe7da2e/cureus-0014-00000025100-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ffc/9205291/e17a098f97ea/cureus-0014-00000025100-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ffc/9205291/6447fbe7da2e/cureus-0014-00000025100-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ffc/9205291/e17a098f97ea/cureus-0014-00000025100-i02.jpg

相似文献

[1]
Outcomes of the Treatment of Fracture Non-union Using Combined Magnetic Field Bone Growth Stimulation: Experiences From a UK Trauma Unit.

Cureus. 2022-5-18

[2]
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[3]
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[9]
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[10]
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[1]
Gathering Evidence to Leverage Musculoskeletal Magnetic Stimulation Towards Clinical Applicability.

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[2]
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[3]
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[4]
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本文引用的文献

[1]
Fracture Non-Union: A Review of Clinical Challenges and Future Research Needs.

Malays Orthop J. 2019-7

[2]
Fracture healing: A review of clinical, imaging and laboratory diagnostic options.

Injury. 2017-6

[3]
The Use of Combined Magnetic Field Treatment for Fracture Nonunions: A Prospective Observational Study.

J Long Term Eff Med Implants. 2016

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Epidemiology of Fracture Nonunion in 18 Human Bones.

JAMA Surg. 2016-11-16

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Methods Mol Biol. 2014

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The devastating effects of tibial nonunion on health-related quality of life.

J Bone Joint Surg Am. 2013-12-18

[7]
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BMJ Open. 2013-2-8

[8]
Pulsed electromagnetic field stimulation for acute tibial shaft fractures: a multicenter, double-blind, randomized trial.

J Bone Joint Surg Am. 2011-9-7

[9]
The biology of fracture healing.

Injury. 2011-4-13

[10]
Electrical stimulation for fracture healing: current evidence.

J Orthop Trauma. 2010-3

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