JRPMS Vol 5, No 3, September 2021, p.110-115
The role of biophysical enhancement (LIPUS, ESWT and PEMF’s) in fracture healing
Ioannis D. Aifantis1, Pantelis K. Mitsikostas2
- 2nd Orthopaedic Department, KAT Hospital, Kifissia, Greece
- 1st Orthopaedic Department, KAT Hospital, Kifissia, Greece
Keywords: ESWT, Fracture healing, LIPUS, Nonunion, PEMF
Fracture healing is a biological route that may not always lead to bone healing. Delayed union or even nonunion of a fracture is possible to have devastating socio-economic impact on patients and healthcare systems. Except of surgical treatment, other non-invasive methods have been proposed for the management of non-united fractures commonly known as biophysical enhancement. This includes low-intensity pulsed (LIPUS), extra-corporeal shockwave therapy (ESWT) and pulsed electromagnetic fields (PEMF) stimulation. The utility and efficacy of biophysical enhancement is a matter of question and no safe conclusion can be drawn especially because of great heterogeneity present in literature.