Abstract
Introduction Low-intensity pulsed ultrasound (LIPUS) has been reported, by various authors, to promote bone healing. The aim of our review was to review the available literature and evaluate the effectiveness of LIPUS in the treatment of various types of complicated fracture union. Materials and methods Different search engines including MEDLINE, EMBASE and the Cochrane Library were used, and the trials adopting LIPUS in the treatment of fractures were included. Data concerning functional outcomes, time to union, delayed or nonunion and adverse effects were extracted. Few complications were reported. Results The results of many trials were probly biased as the data collection was not complete. The study method and materials recruited varied between studies. Conclusion Based on the literature, the available evidence did not support LIPUS as a mean to speed up bone healing.
Highlights
Low-intensity pulsed ultrasound (LIPUS) has been reported, by various authors, to promote bone healing
Despite the proposed advantages of application of ultrasound as part of the treatment of fracture healing, there is no consensus on its role
This review summarizes the available best evidences on the use of ultrasound, including the treatment outcome and other parameters including the need for second procedure or the presence of any adverse effects
Summary
Low-intensity pulsed ultrasound (LIPUS) has been reported, by various authors, to promote bone healing. The aim of our review was to review the available literature and evaluate the effectiveness of LIPUS in the treatment of various types of complicated fracture union. Time to union, delayed or nonunion and adverse effects were extracted. Low-intensity pulsed ultrasound (LIPUS) has been reported to promote bone healing in different stages from injury to solid union. Despite the proposed advantages of application of ultrasound as part of the treatment of fracture healing, there is no consensus on its role.
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