PM&R
Volume 2, Issue 2 , Pages 159-161 , February 2010

Chronic Nonunion in a Patient With Bilateral Supracondylar Distal Femur Fractures Treated Successfully With Twice Daily Low-Intensity Pulsed Ultrasound

  • Zeeshan Waseem, MD

      Affiliations

    • Toronto Rehabilitation Institute, Physical Medicine and Rehabilitation, University of Toronto, 550 University Ave, Toronto, Canada M5G 2A2†
    • Corresponding Author InformationAddress correspondence to: Z.W.
    • ,
  • Michael Ford, MD

      Affiliations

    • Toronto Rehabilitation Institute, Physical Medicine and Rehabilitation, University of Toronto, Toronto, Canada‡
    • ,
  • Khalid Syed, MD

      Affiliations

    • Toronto Rehabilitation Institute, Physical Medicine and Rehabilitation, University of Toronto, Toronto, Canada§
    • ,
  • John Flannery, MD

      Affiliations

    • Toronto Rehabilitation Institute, Physical Medicine and Rehabilitation, University of Toronto, Toronto, Canada

Received 16 June 2009 ,Accepted 19 November 2009.

References 

  1. Pounder NM, Harrison AJ. Low intensity pulsed ultrasound for fracture healing: A review of the clinical evidence and the associated biological mechanism of action. Ultrasonics. 2008;48:330–338
  2. Siska PA, Gruen GS, Pape HS. External adjuncts to enhance fracture healing: What is the role of ultrasound?. Injury. 2008;39:1095–1105
  3. Rawool NM, Goldberg BB, Forsberg F, et al. Doppler assessment of vascular changes during fracture treatment with low intensity ultrasound. Trans 83rd Radiol Soc North Am. 1997;83:421
  4. Parvizi J, Parpura V, Greenleaf JH, et al. Calcium signaling is required for ultrasound-stimulated aggrecan synthesis by rat chondrocytes. J Orthop Res. 2002;20:51–57
  5. Heckman JD, Ryaby JP, McCabe J, et al. Acceleration of tibial fracture-healing by non-invasive, low intensity pulsed ultrasound. J Bone Joint Surg Am. 1994;76:26–34
  6. Kristiansen TK, Ryaby JP, McCabe J, et al. Accelerated healing of distal radial fractures with the use of specific, low-intensity ultrasound. J Bone Joint Surg Am. 1997;79:961–973
  7. Mayr E, Rudzki MM, Rudzki M, et al. Does pulsed low intensity ultrasound accelerate healing of scaphoid fractures?. Handchir Mikrochir Plast Chir. 2000;32:115–122
  8. Nolte PA, van der Krans A, Patka P, et al. Low-intensity pulsed ultrasound in the treatment of nonunions. J Trauma. 2001;51:693–702
  9. Gebauer D, Mayr E, Orthner E, et al. Low-intensity pulsed ultrasound: effects on nonunions. Ultrasound Med Biol. 2005;31:1391–1402
  10. Frankel VH, Mizuno K. Management of non union with pulsed, low intensity ultrasound therapy—international results. Surg Technol Int. 2002;10:195–200
  11. Rutten S, Nolte PA, Guit GL, et al. Use of low-intensity pulsed ultrasound for posttraumatic nonunions of the tibia: A review of the patients treated in the Netherlands. J Trauma. 2007;62:902–908
  12. Jingushi S, Mizuno K, Matsushita T, Itoman M. Low-intensity pulsed ultrasound treatment for postoperative delayed union or nonunion of long bone fractures. J Orthop Sci. 2007;12:35–41
  13. Lerner A, Stein H, Soudry M. Compound high-energy limb fractures with delayed union: Our experience with adjuvant ultrasound stimulation (Exogen). Ultrasonics. 2004;42:915–917
  14. Romano CL, Romano D, Logoluso N. Low-intensity pulsed ultrasound for the treatment of bone delayed union or nonunion: a review. Ultrasound Med Biol. 2009;35:529–536
  15. Chan CW, Qin L, Lee KM, et al. Dose-dependant effect of low-intensity pulsed ultrasound on callus formation during rapid distraction osteogenesis. J Orthop Res. 2006;24:2072–2079

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(09)01587-1

doi: 10.1016/j.pmrj.2009.11.008

PM&R
Volume 2, Issue 2 , Pages 159-161 , February 2010

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