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Ultrasound and shockwave therapy for acute fractures in adults
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Griffin, Xavier L., Smith, Nicholas A., Parsons, Nicholas R. and Costa, Matthew L. (2012) Ultrasound and shockwave therapy for acute fractures in adults. Cochrane Database of Systematic Reviews (2). CD008579. doi:10.1002/14651858.CD008579.pub2
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Official URL: http://dx.doi.org/10.1002/14651858.CD008579.pub2
Abstract
Background
The morbidity and socioeconomic costs of fractures are considerable. The length of time to healing is an important factor in determining a patient's recovery after a fracture. Ultrasound may have a therapeutic role in reducing the time to union after fracture.
Objectives
To assess the effects of low intensity ultrasound (LIPUS), high intensity focused ultrasound (HIFUS) and extracorporeal shockwave therapies (ECSW) as part of the treatment of acute fractures in adults.
Search methods
We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (December 2011), the Cochrane Central Register of Controlled Trials (in The Cochrane Library 2011, Issue 4), MEDLINE (1950 to November Week 3 2011), EMBASE (1980 to 2011 Week 49), trial registers and reference lists of articles.
Selection criteria
Randomised controlled trials evaluating ultrasound treatment in the management of acute fractures in adults. Studies including participants over 18 years of age with acute fractures, reporting functional outcomes, time to union, non-union, secondary procedures such as for fixation or delayed or non-union, adverse effects, pain, costs or patient adherence were included.
Data collection and analysis
Two authors independently extracted data from the included studies. Treatment effects were assessed using mean differences or risk ratios and, where there was substantial heterogeneity, pooled using a random-effects model. Results from 'worst case' analyses, which gave more conservative estimates of treatment effects for time to fracture union, are reported in preference to those from 'as reported' analyses.
Main results
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School |
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| Journal or Publication Title: | Cochrane Database of Systematic Reviews | ||||
| Publisher: | John Wiley & Sons Ltd. | ||||
| ISSN: | 1469-493X | ||||
| Book Title: | Cochrane Database of Systematic Reviews | ||||
| Official Date: | 2012 | ||||
| Dates: |
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| Number: | 2 | ||||
| Article Number: | CD008579 | ||||
| DOI: | 10.1002/14651858.CD008579.pub2 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Open Access |
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