J Korean Fract Soc.  2011 Oct;24(4):367-370.

Treatment of Nonunion of Tibia with Extracorporeal Shock Wave Therapy: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Ilsan Hospital of National Health Insurance Corporation, Goyang, Korea. hangugi@gmail.com

Abstract

Almost tibia fractures can be surgically treated, but nonunion may occur in 10~30%, and they may accompany various complications by operation. This research was designed to review literatures and report a case of patient with nonunion of the tibia that showed good result when performing the extracorporeal shock wave therapy as a conservative treatment.

Keyword

Tibia; Nonunion; Extracorporeal shock wave therapy

MeSH Terms

Humans
Shock
Tibia

Figure

  • Fig. 1 (A) The radiograph shows transverse fracture line of the tibia. (B) 5 months after conservative care, in anteroposterior and lateral view union was not shown (TD: trauma day).

  • Fig. 2 This photo shows HMT EvoTron® RFL0300 (Health Medical Technology, Kreuzlinger, Switzerland).

  • Fig. 3 The radiographs of the tibia show nonunion on anteromedial aspect of fracture site before extracorporeal shock wave therapy (ESWT). At 5 weeks, 10 weeks, 4 months and 10 months and 16months after ESWT radiographs show callus formation and bony union achieved (mons: months).


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