دورية أكاديمية
Treatment of scaphoid nonunion with casting and pulsed electromagnetic fields: a study continuation.
| العنوان: | Treatment of scaphoid nonunion with casting and pulsed electromagnetic fields: a study continuation. |
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| المؤلفون: | Adams BD; Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington 05405., Frykman GK, Taleisnik J |
| المصدر: | The Journal of hand surgery [J Hand Surg Am] 1992 Sep; Vol. 17 (5), pp. 910-4. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 7609631 Publication Model: Print Cited Medium: Print ISSN: 0363-5023 (Print) Linking ISSN: 03635023 NLM ISO Abbreviation: J Hand Surg Am Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Original Publication: St. Louis, Mosby. |
| مواضيع طبية MeSH: | Electromagnetic Phenomena*, Carpal Bones/*injuries , Fractures, Ununited/*therapy, Adolescent ; Adult ; Casts, Surgical ; Combined Modality Therapy ; Female ; Fracture Healing ; Humans ; Male ; Middle Aged |
| مستخلص: | This article presents a continuation of a study of the treatment of scaphoid nonunion with pulsed electromagnetic fields (PEMF) and cast immobilization. Fifty-four patients were reviewed. The overall success rate for healing has decreased since the previous review from 80% to 69%. Proximal pole fractures healed in 50%. Success in nonunions with associated radiographic evidence of avascular necrosis decreased from 89% to 73%. Although we believe that the indications for use of PEMF have not changed significantly, this study suggests that a successful outcome with PEMF and casting is less likely than previously reported. We believe that until additional clinical studies have further defined the indications, treatment protocol, and efficacy of this method PEMF treatment should be a secondary alternative to bone-grafting procedures. |
| تواريخ الأحداث: | Date Created: 19920901 Date Completed: 19921103 Latest Revision: 20190827 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/0363-5023(92)90467-4 |
| PMID: | 1401805 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0363-5023 |
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| DOI: | 10.1016/0363-5023(92)90467-4 |