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Treatment of nonunion of bone fractures by shock wave therapy

What is nonunion of bone fractures?

Treatment of nonunion of bone fractures by shock wave therapy

Most bone fractures are consolidated (fused) after 4-6 months or at least radiological signs of progressive fusion are determined on a series of radiographs. If the fracture has not healed by this time, then we are talking about slowing down the consolidation or non-union of the fracture.

Pseudoarthrosis (pseudo-joint) - interruption of the fracture healing process. Between the main fragments of the fracture fibrous or cartilaginous tissue is formed and therefore even after 6-8 months there is no healing of the fracture.

The causes of delayed consolidation and, accordingly, nonunion of bone fractures and pseudoarthrosis are:


These factors lead to pseudoarthrosis, but do not in themselves cause it. The division into delayed consolidation of bone fractures, nonunion and pseudoarthrosis is used as a basis for planning the treatment process. It should be emphasized that prevention is always better than cure!

Therapeutic measures for bone fractures consist of repositioning, strong fixation of fragments for the entire period of fusion and auxiliary methods of treatment (therapeutic exercise, physiotherapy, massage, etc.), aimed at restoring the functional integrity of the damaged limb. The word "auxiliary" here does not diminish their importance and in some cases are as important in restoring bone integrity as surgical treatment. Fixation of bone fragments is achieved through the use of conservative immobilization, as well as surgical techniques.

Rehabilitation measures start as early as possible and include:

In the last 10 years, Awatage Medical Center has been successfully using shock wave therapy, which intensively stimulates angiogenesis (growth of new vessels) and osteogenesis (the process of bone formation) in the area of ​​fracture. The addition of shock wave therapy procedures to the medical complex significantly accelerates the healing of long-growing fractures.

In most cases, SWT is used as a stand-alone method (monotherapy) to accelerate fracture healing and delayed fracture healing. Sometimes 3 procedures are enough to achieve the formation of callus, which is clearly visible on X-rays (see below).

It should be noted that the presence of metal pins in the patient is not a contraindication or obstacle to shock wave therapy in the treatment of delayed fracture fusion.

In our practice, ABSOLUTELY ALL 100% of patients received a positive result - the fusion of bone fractures!

Fracture of the humerus

До начала лечения УВТ: Аватаж киев После 3-х процедур УВТ: Аватаж киев