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

Seung Yong Sung; Han Kook Yoon; Jeung-Yeul Jung

doi:10.12671/jkfs.2011.24.4.367

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Sung, Yoon, and Jung: Treatment of Nonunion of Tibia with Extracorporeal Shock Wave Therapy - A Case Report -

Case Report

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2011; 24(4): 367-370.

Published online: 30 October 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.4.367

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

Seung Yong Sung, M.D., Han Kook Yoon, M.D., Jeung-Yeul Jung, M.D.

Department of Orthopedic Surgery, Ilsan Hospital of National Health Insurance Corporation, Goyang, Korea.

Address reprint requests to: Han Kook Yoon, M.D. Department of Orthopedics, National Health Insurance Corporation Ilsan Hospital, 1232, Baekseok-dong, Ilsandong-gu, Goyang 411-360, Korea. Tel: 82-31-900-0227, Fax: 82-31-900-0343, hangugi@gmail.com

Received 28 March 2010 Revised 2 May 2010 Accepted 22 August 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Tibia, Nonunion, Extracorporeal shock wave therapy

Figures and Tables

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).

References

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