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Externe Supportiva zur Förderung der Frakturheilung

Welche Rolle spielt Ultraschall?

External adjuncts to enhance fracture healing

What is the role of ultrasound?

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Zusammenfassung

Von den externen Hilfen zur Förderung der Frakturheilung scheint sich niedrigintensiver gepulster Ultraschall als sicheres, kosteneffektives und verlässliches Verfahren zu erweisen. Verschiedene experimentelle Studien haben sowohl mit In-vivo- als auch mit In-vitro-Arbeiten zur Aufklärung möglicher Wirkungsmechanismen des Ultraschalls beigetragen. Darüber hinaus existiert eine Reihe prospektiver, randomisierter, doppelblinder, placebokontrollierter Studien, die die klinische Wirksamkeit niedrigintensiven, gepulsten Ultraschalls belegen. In diesem Artikel werden diese Studien zusammengefasst.

Abstract

Current methods of fracture care use various adjuncts aimed at decreasing the time to fracture union and improving fracture union rates. Among the most commonly used modalities, low-intensity pulsed ultrasound is emerging as a safe, cost-effective, and reliable treatment for both fresh fractures and fracture nonunions. Both in vivo and in vitro basic science studies have helped elucidate potential mechanisms of ultrasound action, and a number of prospective, randomized, double-blind, placebo-controlled trials have demonstrated the clinical efficacy of low-intensity pulsed ultrasound. This article reviews the evidence for the use of low-intensity pulsed ultrasound in fracture care.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Division of Orthopaedic Traumatology, University of Pittsburgh Medical Center, Kaufmann Medical Building, Suite 1010 3471 Fifth Avenue, PA 15213, Pittsburgh, USA

    P. Siska, G.S. Gruen, C. Menzel & H.C. Pape

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  1. P. Siska
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  2. G.S. Gruen
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  3. C. Menzel
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  4. H.C. Pape
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Correspondence to H.C. Pape.

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Nachdruck mit freundlicher Genehmigung des Elsevier Verlags aus: Siska PA, Gruen GS, Pape HC (2008) External adjuncts to enhance fracture healing: What is the role of ultrasound? Injury 39(10): 1095–1105

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Siska, P., Gruen, G., Menzel, C. et al. Externe Supportiva zur Förderung der Frakturheilung. Unfallchirurg 112, 6–14 (2009). https://doi.org/10.1007/s00113-008-1537-2

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  • DOI: https://doi.org/10.1007/s00113-008-1537-2

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