Use of extracorporeal shock waves in the patient with post-surgical fracture pseudarthrosis: highlights
DOI:
https://doi.org/10.47464/MetroCiencia/vol31/4/2023/78-80Keywords:
Extracorporeal shock waves; Post-surgical fracture; Pseudarthrosis; TerapeuticsAbstract
Post-surgical fracture pseudarthrosis (SFP) is considered as the impossibility of maintaining cortical continuity at the fracture site through radiological follow-up for a period of at least 6 months after an orthopedic intervention; these interventions are usually osteotomies and arthrodesis. The cause of disease attributed to SFP is reflected considerably, given that it involves the persistence of chronic pain, generating greater disability, negatively impacts the quality of life of the post-surgical patient and is also associated with a higher risk of mortality1,2.
The most frequently used treatment modalities in SPF are related to the use of medications, such as skeletal growth factors (epithelial growth factor; fibroblast growth factor; platelet-derived growth factor; insulin-like growth factor, among others) and teriparatide. Other treatment alternatives include surgical approaches (internal fixation and/or bone graft), the latter being the “gold standard” for the treatment of this condition3.
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Copyright (c) 2023 Juan Santiago Serna Trejos, Stefanya Geraldine Bermúdez Moyano , David Polanco Roa, David Altman Salcedo
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