CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures: a randomised, multicentre, double-blind, placebo-controlled trial
| Autor: | P. A. M. G. M. Dirven, Pascal F. W. Hannemann, Martijn Poeze, Peter R. Brink, C. H. J. Berghmans, M. R. van Wezenbeek, K. A. Kolkman, E. L. L. Twiss |
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| Přispěvatelé: | Surgery, RS: NUTRIM - R2 - Gut-liver homeostasis, Intensive Care |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
STIMULATION
medicine.medical_specialty RANDOMIZED CONTROLLED-TRIALS Nonunion UNION Placebo-controlled study Scaphoid fracture Bone healing Placebo law.invention CONSERVATIVE TREATMENT Randomized controlled trial law medicine CAST IMMOBILIZATION MANAGEMENT Orthopedics and Sports Medicine COMPUTED-TOMOGRAPHY Bone growth WAIST business.industry medicine.disease NONUNION Surgery PERCUTANEOUS SCREW FIXATION Scaphoid bone business |
| Zdroj: | The Bone & Joint Journal, 96-B(8), 1070-1076. British Editorial Society of Bone & Joint Surgery |
| ISSN: | 2049-4394 |
| DOI: | 10.1302/0301-620x.96b8.33767 |
| Popis: | We hypothesised that the use of pulsed electromagnetic field (PEMF) bone growth stimulation in acute scaphoid fractures would significantly shorten the time to union and reduce the number of nonunions in a randomised, double-blind, placebo-controlled multicentre trial. A total of 102 patients (78 male, 24 female; mean age 35 years (18 to 77)) from five different medical centres with a unilateral undisplaced acute scaphoid fracture were randomly allocated to PEMF (n = 51) or placebo (n = 51) and assessed with regard to functional and radiological outcomes (multiplanar reconstructed CT scans) at 6, 9, 12, 24 and 52 weeks. The overall time to clinical and radiological healing did not differ significantly between the active PEMF group and the placebo group. We concluded that the addition of PEMF bone growth stimulation to the conservative treatment of acute scaphoid fractures does not accelerate bone healing. Cite this article: Bone Joint J 2014; 96-B:1070–6. |
| Databáze: | OpenAIRE |
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