Author: Matsumoto M1, Fujiwara Y, Tsukahara T, Sakaguchi A, Tanaka K, Morimura N.
Affiliation: 1*Adavanced Critical Care and Emergency Center, Yokohama City University Medical center; †Hiratsuka Kyousai Hospital; ‡Department of Emergency Medicine, Yokohama City University School of Medicine.
Conference/Journal: J Orthop Trauma.
Date published: 2014 Jun
Other:
Volume ID: 28 , Issue ID: 6 , Pages: S5 , Special Notes: doi: 10.1097/01.bot.0000450475.84560.53 , Word Count: 139
OBJECTIVE:
NHI coverage for LIPUS treatment was limited to open or comminuted fresh fractures, but this indication has been expanded to include simple fresh fracture. We here report the results of LIPUS therapy for simple fresh fracture.
PATIENTS AND METHODS:
A retrospective analysis was performed on 18 patients who underwent operation and LIPUS therapy from April 2010 to March 2013. Fourteen men and 4 women, average age 36.6 years, with 16 open fractures (4 were Gustilo classification type I, 7 were II, 5 were IIIA) were treated.
RESULTS:
On average, LIPUS was started 15.6 days after surgery. The average duration of callus formation was 7 weeks, with bone union at 5.5 months. The bone union rate was 83% (15/18). Three open fractures resulted in pseudarthrosis.
DISCUSSION:
LIPUS therapy was effective on open and simple fractures. LIPUS was not effective on Gustilo I and II comminuted open fractures, which were associated with pseudarthrosis.
PMID: 24854470