Abstract

ABSTRACT This study highlights the emerging use of extracorporeal shock waves to treat nonunions and delayed unions. An overview of previous work performed in this area is presented. A feasibility study conducted by OssaTron (HealthTronics) is also reviewed, showing the results of high-energy extracorporeal shock wave for the treatment of nonunions in the proximal fifth metatarsal. Preliminary results support its effectiveness as a safe and less invasive means of treating difficult cases of nonunions or delayed unions. More research is needed to demonstrate the physiology of bone-healing induced by the use of shock wave therapy.

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