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Non-invasive treatment of long-bone pseudarthrosis by shock waves (ESWLR)

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Summary

Non-invasive treatment of non-union of diaphyses by application of the shock waves known from lithotripsy has proved successful in three out of four cases. Two thousand shock waves with a single-wave energy of 18 kV were applied by the MFL 5000 and HM3 Lithotripters of the Dornier Medizintechnik Company with manual detection of the lesion. The shock waves induced a kind of callus formation in the non-union soft tissue within about 6 weeks, which was succesfully maintained and transformed into bony union in all cases but one by dynamic fixation less rigid than a plaster cast. Four cases are documented and the effects of the shock waves and principles of bony union discussed.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery of the Ruhr University Bochum, St. Josef-Hospital, Gudrunstr. 56, D-4630, Bochum, Germany

    R. Schleberger

  2. Department of Urology, Ruhr University, Bochum, Germany

    T. Seng

Authors
  1. R. Schleberger
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  2. T. Seng
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Schleberger, R., Seng, T. Non-invasive treatment of long-bone pseudarthrosis by shock waves (ESWLR). Arch Orthop Trauma Surg 111, 224–227 (1992). https://doi.org/10.1007/BF00571482

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