medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2001, Number 6

<< Back Next >>

Acta Ortop Mex 2001; 15 (6)

Fractures with delay in the osseous consolidation or pseudoarthrosis: non-invasive treatment with transcutaneous galvanic electrostimulation

Calderón-Garcidueñas J, Castillo-Carranza MJ, Pavón-Salas D, Mireles-Díaz JA, González-Gutiérrez R

Language: Spanish
References: 16
Page: 262-265
PDF size: 36.76 Kb.


ABSTRACT

Objective. To evaluate bone union in patients who had delayed union or pseudoarthroses and were treated by transcutaneal electrostimulation. Materials and methods. This is an experimental trial performed in 18 adult patients who were classified in groups A and B with 9 patients each one. Group A patients were treated by transcutaneal galvanic electrostimulation for 10 minutes daily in 42 sessions. Group B remained untreated as control. Exact test of Fisher was applied with a value for p ‹ 0.05. Time space from fracture to present treatment was from 3 to 80 months (av. 18 months) and 16 out of 18 have had 1 to 5 operations. Results. The group A, 7 out of 9 patients had bony union in X-rays while in group B only one patient had radiological improvement. Conclusion. 1) Significant improvement occurred in patients of group A. 2) Transcutaneal galvanic electrostimulation produce bone-union in cases with delayed union and pseudoarthroses. 3) This is an ambulatory and non-invasive method, so patients are allowed to continue in activity.


REFERENCES

  1. Salter R: Trastornos y lesiones del sistema musculoesquelético. 2da. ed. España: Masson-Salvat Medicina; 1993: 378-85.

  2. Trueta J. La estructura del cuerpo humano. Estudio sobre su desarrollo y decadencia. 2da. ed. España: Labor S.A.; 1975: 120-8.

  3. Pedrosa C. Diagnóstico por imagen tratado de radiología clínica. 1st ed. España: McGraw-Hill Interamericana; 1986: 1220-69.

  4. Connolly J: De Palma tratamiento de fracturas y luxaciones. 3ra. ed. Argentina: Médica Panamericana; 1992: 1550-610.

  5. Crenshaw A: Campbell cirugía ortopédica. 8va. ed. Argentina: Médica Panamericana; 1993: 1211-66.

  6. Sarmiento A: Tratamiento funcional incruento de las fracturas. 1a. ed. Argentina: Médica Panamericana; 1981: 11-56.

  7. Brighton T, Friedenberg Z, Mitchell I: Treatment of nonunion with constant direct current. Clin Ortoph Research 1977; 124: 106-23.

  8. Brighton CT: Treatment of nonunion of the tibia with constant direct current. Trauma 1980; 21: 189-95.

  9. Kleczynski S: Electrical stimulation to promote the union of fractures. Int Orthop 1998; 12: 83-7.

  10. Herbert A, Haupt MD: Electrical stimulation of osteogenesis. South Med 1984; 77: 56-64.

  11. Mark WO, Kenneth J: Effects of electromagnetic fields in experimental fracture repair. Clin Orthop Res 1998; 455: 90-104.

  12. Claude LRS, Lagey MD, Jan MM: Electrical stimulation of bone growth with direct current. Clin Orthop 1986; 204: 303-12.

  13. Wang Q, Zhong S, Ouyang J: Osteogenesis of electrically stimulated bone cells mediated in party by calcium ions. Clin Orthop 1998; 348: 259-68.

  14. Kenneth M, Clinton R: Clinical use of electrical stimulation in fracture healing. Phys Med Rehab 1995; 9: 67-75.

  15. Lorraine D: Electrical stimulation in the treatment of nonunited fractures. Clin Orthop 1981; 161: 54-7.

  16. Martínez Morillo M, Pastor Vega J, Sandra Portero F: Manual de medicina física. 2da. ed. España: Harcourt Brace; 1998: 133-49.




2020     |     www.medigraphic.com