bannerHON
img
HONnews
HONnews
img PATIENT / PARTICULIER img PROFESSIONNEL DE SANTE img WEBMESTRE img
img
 
img
HONcode sites
Khresmoi - new !
HONselect
News
Conferences
Images

Themes:
A B C D E F G H I
J K L M N O P Q
R S T U V W X Y Z
Browse archive:
2017: O S A J J M A M F J
2016: D N O

 
  Other news for:
Fractures
 Resources from HONselect
Ultrasound Won't Help Broken Bones Heal, Expert Panel Says
Detailed review suggests it's time to retire this costly but useless intervention

By E.J. Mundell

THURSDAY, Feb. 23, 2017 (HealthDay News) -- Some doctors may order a pricey ultrasound treatment -- low-intensity pulsed ultrasound (LIPUS) -- to help speed the healing of broken bones.

But an international panel of experts now says there's little evidence to support the procedure.

"We have moderate to high certainty of a lack of benefit for outcomes important to patients, and, combined with the high costs of treatment, LIPUS represents an inefficient use of limited health care resources," concluded the panel. The group is made up of bone surgeons, physical therapists and doctors, as well as patients who've had broken bones.

The panel conducted a detailed analysis of the most up-to-date data on the subject, and published its conclusions Feb. 21 in the BMJ medical journal.

According to the panel, up to 10 percent of people who suffer a broken bone face slow or complicated healing. In 1994, the U.S. Food and Drug Administration approved LIPUS as a fracture healing aid. The device, which costs between $1,300 and $5,000, is now widely used by doctors across the country.

But research has cast doubt on the benefits of this treatment, the expert panel said.

Although LIPUS is in common use, the new analysis suggested it has little or no influence on either the pain patients experience or their healing time.

For example, data showed that LIPUS had little effect on when people with fractures returned to work or were able to fully bear weight on the broken limb. The device also doesn't appear to ease patient pain, reduce the number of subsequent operations or accelerate healing, the panel said.

Based on the review, the panel advises against using LIPUS to enhance recovery from broken bones or the surgical realignment of bones.

The experts added that future studies are unlikely to influence their recommendation, suggesting that researchers shift their focus to "other interventions that have a greater probability to speed up healing."

Dr. Lon Weiner is chief of orthopedic trauma at Lenox Hill Hospital in New York City. He reviewed the panel's analysis and explained that the initial theory behind LIPUS was that ultrasound "mechanically stimulates bone cells to produce more bone and calcium."

This was thought to help fractures to heal faster, but "this has never panned out in the day-to-day practice of orthopedics," Weiner said.

"The results in these cases are inconsistent at best, which further questions the viability of this technology," he said.

More information

The American Academy of Orthopaedic Surgeons provides more information on broken bones.

SOURCES: Lon Weiner, M.D., chief, orthopedic trauma, Lenox Hill Hospital, New York City; BMJ, news release, Feb. 21, 2017

Copyright © 2017 HealthDay. All rights reserved. URL:http://consumer.healthday.com/Article.asp?AID=719938

Resources from HONselect: HONselect is the HON's medical search engine. It retrieves scientific articles, images, conferences and web sites on the selected subject.
Bone and Bones
Therapeutics
Wounds and Injuries
Pain
Equipment and Supplies
The list of medical terms above are retrieved automatically from the article.

Disclaimer: The text presented on this page is not a substitute for professional medical advice. It is for your information only and may not represent your true individual medical situation. Do not hesitate to consult your healthcare provider if you have any questions or concerns. Do not use this information to diagnose or treat a health problem or disease without consulting a qualified healthcare professional.
Be advised that HealthDay articles are derived from various sources and may not reflect your own country regulations. The Health On the Net Foundation does not endorse opinions, products, or services that may appear in HealthDay articles.


Home img About us img MediaCorner img HON newsletter img Site map img Ethical policies img Contact