Forriol F, Solchaga L, Moreno J L, Canãdell J
Department of Orthopaedic Surgery, Clinica Universutaria, School of Medicine, University of Navarra, Pamplona, Spain.
Int Orthop. 1994 Oct;18(5):325-9. doi: 10.1007/BF00180236.
It has been proposed that high energy shockwaves could be used to create microfractures in cortical bone. This quality might be exploited clinically to perform closed osteotomies and promote healing in nonunion (15). However, no study has previously documented the effect of shockwaves on cortical bone "in vivo". We report an investigation designed to demonstrate the effect of shockwaves on mature cortical and healing bone. An osteotomy was performed on the tibiae of 37 lambs; two weeks later the operation site was exposed to shockwaves. Three weeks later the lambs were killed and specimens of the bone examined histologically and radiographically. Shockwaves had no effect on the periosteal surface of mature cortical bone, but on the endosteal surface some new trabecular bone was seen. Healing of bone was delayed by the shockwave therapy. We conclude that there is currently little place for shockwave treatment in clinical orthopaedics.
有人提出高能冲击波可用于在皮质骨中制造微骨折。这种特性可能在临床上用于进行闭合性截骨术并促进骨不连的愈合（15）。然而，此前尚无研究记录冲击波对“体内”皮质骨的影响。我们报告了一项旨在证明冲击波对成熟皮质骨和愈合中骨的影响的研究。对37只羔羊的胫骨进行了截骨术；两周后，手术部位接受冲击波治疗。三周后，处死羔羊并对骨标本进行组织学和放射学检查。冲击波对成熟皮质骨的骨膜表面没有影响，但在内骨膜表面可见一些新的小梁骨。冲击波疗法延迟了骨愈合。我们得出结论，目前冲击波治疗在临床骨科中几乎没有用武之地。
