gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Artikel

Artikel empfehlen

Early stimulation of bone consolidation in patients with pathological phalanges fracture: the role of biophysics stimulation

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Francesco De Francesco - Dpt of Reconstructive Surgery and Hand Surgery, AOU Ospedali Riuniti di Ancona, Ancona, Italy
  • Pierfrancesco Pugliese - Dpt of Reconstructive Surgery and Hand Surgery, AOU Ospedali Riuniti di Ancona, Ancona, Italy
  • Pier Paolo Pangrazi - Dpt of Reconstructive Surgery and Hand Surgery, AOU Ospedali Riuniti di Ancona, Ancona, Italy
  • Letizia Senesi - Dpt of Reconstructive Surgery and Hand Surgery, AOU Ospedali Riuniti di Ancona, Ancona, Italy
  • Andrea Campodonico - Dpt of Reconstructive Surgery and Hand Surgery, AOU Ospedali Riuniti di Ancona, Ancona, Italy
  • Michele Riccio - Dpt of Reconstructive Surgery and Hand Surgery, AOU Ospedali Riuniti di Ancona, Ancona, Italy

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1428

doi: 10.3205/19ifssh0558, urn:nbn:de:0183-19ifssh05588

Veröffentlicht: 6. Februar 2020

© 2020 De Francesco et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: The aim of a treatment when hand surgeon facing with a fracture is to promote bone healing. It is not always easy to understand if and with which probability, a fracture will evolve to a delayed consolidation or a pseudoarthrosis. Currently we do not have clinical, instrumental or laboratory investigations useful to identify "a pathological fracture", meaning as such a fracture that may require a longer time for healing or greater probability of incurring in non-consolidation. The aim of the present work is to evaluate the role of biophysical stimulation in the surgical treatment of simple and complex phalanges fractures. Biophysical stimulation was approved by the Federal Drug Administration (FDA) for treatment of delayed unions after long-bone fractures.

Methods: We treated with Capacitively coupled electrical field (CCEF), 40 patients divided in three groups: recent fractures, delayed consolidation and non-union. The segments involved were predominantly the phalanges and metacarpal bones. The patients underwent treatment with CCEF for an average time of 40 days (range 15 days - 120 days).

Results and Conclusions: Healing time was relatively shorter in the group treated with CCEF than expected considering the difficulties often occurring in the management of fractures and non-unions of the phalanges. Data were analysed with t-Student test.

The use of CCEF can shorten healing time of the bone, and consequently reduce the potential damages related to a prolonged immobilization. Biophysical stimulation can be an option in selected clinical situation: neither feasible surgical tretment or nor accepted by patients with non-displaced and stable fractures, in case of delayed union, or lastly in non-union requiring bone flap or grafting as additional therapy after the surgery procedure.