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ID 51469
フルテキストURL
著者
Kinami, Yo Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Community Med
Noda, Tomoyuki Okayama Univ Hosp, Dept Orthoped Surg ORCID Kaken ID publons
Ozaki, Toshifumi Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Sci Funct Recovery & Reconstruct Orthoped Su Kaken ID publons researchmap
抄録
There are no evidence on the effects of low-intensity pulsed ultrasound (LIPUS) on surgically managed fresh fractures. We therefore performed a multicenter retrospective cohort study to investigate the effects of LIPUS on surgically managed fresh fractures. This study included patients surgically treated for diaphyseal fractures of the femur or tibia between August 2009 and July 2010 at 14 institutions. Outcome was the union period. We performed an overall comparison of the LIPUS group (78 cases) with the control group (63 cases), as well as subgroup analyses comparing outcomes for fracture sites, fracture types, soft tissue conditions, and fixation methods between the groups. There was no significant difference between the groups in terms of distribution of cases by fracture site, fracture type, soft tissue condition, fixation method. Analyses comparing subgroups, however, showed significant differences between the two groups, particularly in relation to type C fractures, regardless of whether all cases or only closed-fracture cases were analyzed: there was an approximately 30 % reduction in the union period for type C fractures in the LIPUS group. There were also cases requiring reoperation due to lack of stability, even among the type C fractures. LIPUS is effective for surgically managed, fresh, type C comminuted diaphyseal fractures of the lower limbs when there is appropriate stability at the fracture site.
発行日
2013-05
出版物タイトル
Journal of Orthopaedic Science
18巻
3号
出版者
Springer Japan KK
開始ページ
410
終了ページ
418
ISSN
0949-2658
資料タイプ
学術雑誌論文
オフィシャル URL
http://dx.doi.org/10.1007/s00776-013-0358-5
関連URL
http://ousar.lib.okayama-u.ac.jp/metadata/51450
言語
English
論文のバージョン
publisher
査読
有り
DOI
Web of Science KeyUT