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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

Research output not available from this repository, contact author.
Official URL: http://dx.doi.org/10.1002/14651858.CD008579.pub2

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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
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:
DateEvent
2012Published
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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