TREATMENT OF SCAPHOID NONUNION WITH CASTING AND PULSED ELECTROMAGNETIC-FIELDS - A STUDY CONTINUATION

被引：35

作者：

ADAMS, BD

FRYKMAN, GK

TALEISNIK, J

机构：

[1] Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, VT

[2] Department of Orthopedic Surgery, Loma Linda University School of Medicine, Loma Linda, CA

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 05期

关键词：

D O I：

10.1016/0363-5023(92)90467-4

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This article presents a continuation of a study of the treatment of scaphoid nonunion with pulsed electromagnetic fields (PEMF) and cast immobilization. Fifty-four patients were reviewed. The overall success rate for healing has decreased since the previous review from 80% to 69%. Proximal pole fractures healed in 50%. Success in nonunions with associated radiographic evidence of avascular necrosis decreased from 89% to 73%. Although we believe that the indications for use of PEMF have not changed significantly, this study suggests that a successful outcome with PEMF and casting is less likely than previously reported. We believe that until additional clinical studies have further defined the indications, treatment protocol, and efficacy of this method PEMF treatment should be a secondary alternative to bone-grafting procedures.

引用

页码：910 / 914

页数：5

共 20 条

[1]

Cooney, Dobyns, Linscheid, Nonunion of the scaphoid: analysis of the results from bone grafting, J Hand Surg, 5, pp. 343-354, (1980)

[2]

Cooney, Dobyns, Linscheid, Fractures of the scaphoid a rational approach to management, Clin Orthop Relat Res, 149, pp. 90-97, (1980)

[3]

Bora, Osterman, Brighton, The electrical treatment of scaphoid nonunion, Clin Orthop, 161, pp. 30-38, (1981)

[4]

Bora, Osterman, Woodbury, Brighton, Treatment of nonunion of the scaphoid by direct current, Orthop Clin North Am, 15, pp. 107-112, (1984)

[5]

Brighton, The semi-invasive method of treating nonunion with direct current, Orthop Clin North Am, 15, pp. 33-45, (1984)

[6]

Stewart, Fractures of the carpal navicular (scaphoid) a report of 436 cases, J Bone Joint Surg Am, 36 A, pp. 998-1006, (1954)

[7]

Cosio, Camp, Percutaneous pinning of symptomatic scaphoid nonunions, J Hand Surg, 11 A, pp. 350-355, (1986)

[8]

Patterson, Treatment of nonunion with a constant direct current: a totally implantable system, Orthop Clin North Am, 15, pp. 47-59, (1984)

[9]

Basset, Valdes, Hernandez, Modification of fracture repair with selected pulsing electromagnetic field, J Bone Joint Surg, 64 A, pp. 888-895, (1982)

[10]

Beckenbaugh, Noninvasive pulsed electromagnetic stimulation in the treatment of scaphoid nonunion, Orthop Trans, 9, (1985)

← 1 2 →