| No midterm benefit from low intensity pulsed ultrasound after chevron osteotomy for hallux valgus. | |
| | |
MedLine Citation:
|
PMID: 19540659 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Chevron osteotomy is a widely accepted method for correction of symptomatic hallux valgus deformity. Full weight bearing in regular shoes is not recommended before 6 weeks after surgery. Low intensity pulsed ultrasound is known to stimulate bone formation leading to more stable callus and faster bony fusion. We performed a randomized, placebo-controlled, double-blinded study on 44 participants (52 feet) who underwent chevron osteotomy to evaluate the influence of daily transcutaneous low intensity pulsed ultrasound (LIPUS) treatment at the site of osteotomy. Follow-up at 6 weeks and 1 year included plain dorsoplantar radiographs, hallux-metatarsophalangeal-interphalangeal scale and a questionnaire on patient satisfaction. There was no statistical difference in any pre- or postoperative clinical features, patient satisfaction or radiographic measurements (hallux valgus angle, intermetatarsal angle, sesamoid index and metatarsal index) except for the first distal metatarsal articular angle (DMAA). The DMAA showed statistically significant (p = 0.046) relapse in the placebo group upon comparison of intraoperative radiographs after correction and fixation (5.2 degrees) and at the 6-week follow-up (10.6 degrees). Despite potential impact of LIPUS on bone formation, we found no evidence of an influence on outcome 6 weeks and 1 year after chevron osteotomy for correction of hallux valgus deformity. |
| | |
Authors:
|
Max Zacherl; Gerald Gruber; Roman Radl; Peter H Rehak; Reinhard Windhager |
Related Documents
:
|
1429789 - Prophylaxis with indomethacin for heterotopic ossification after chiari osteotomy of th... 11310859 - Age-based outcomes of cheilectomy for the treatment of hallux rigidus. 10029039 - Treatment of femoral neck nonunions with a sliding compression screw: comparison with a... 21843719 - Clinical features and outcome of physiotherapy in early presenting congenital muscular ... 11269809 - Chiari osteotomy in children and young adults. 9356909 - The role of cheilectomy in the treatment of hallux rigidus. 10759819 - The efficacy of external ultrasound-assisted liposuction: a randomized controlled trial. 6472029 - Treatment of condyloma acuminata with carbon dioxide laser: a prospective study. 15958909 - Effect of postoperative early ankle motion exercise using hinged ankle-foot orthoses in... |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial Date: 2009-06-21 |
Journal Detail:
|
Title: Ultrasound in medicine & biology Volume: 35 ISSN: 1879-291X ISO Abbreviation: Ultrasound Med Biol Publication Date: 2009 Aug |
Date Detail:
|
Created Date: 2009-07-20 Completed Date: 2009-11-04 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0410553 Medline TA: Ultrasound Med Biol Country: England |
Other Details:
|
Languages: eng Pagination: 1290-7 Citation Subset: IM |
Affiliation:
|
Department of Orthopaedic Surgery, Medical University of Graz, Graz, Austria. max_zacherl@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Bone Wires Braces Chi-Square Distribution Combined Modality Therapy Double-Blind Method Female Follow-Up Studies Hallux Valgus / radiography, surgery*, therapy Humans Male Metatarsal Bones / radiography, surgery* Middle Aged Osteotomy / methods* Postoperative Period Recovery of Function Statistics, Nonparametric Treatment Failure Ultrasonic Therapy / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Recovery of skin barrier properties after sonication in human subjects.
Next Document: Fetal cerebellar volume and symmetry on 3-d ultrasound: volume measurement with multiplanar and voca...