A noninvasive treatment utilizing pulsating electromagnetic fields for promoting healing of nonunited fractures, failed fusions, and congenital pseudarthrosis.
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In 258 patients with fractures and pseudarthroses of the carpal scaphoid the cause and type are given and the results of treatment are presented. It is verified that the majority of fresh fractures are united by plaster immobilisation. In fractures with delayed healing and in cases with non-union the best results are achieved by autologous bone grafting.
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Biomechanical studies of stabilizing effect of cortico-cancellous-grafts showed that the resistance of internal fixation is not endangered acutely under a one-foot weight bearing situation. The stability of defectosteosynthesis was significantly raised not only when a lateral joist was left but also when a medial cortico-cancellous-graft was fixed. 29 patients with chronical defectosteitis were treated by internal fixation and cortico-cancellous-grafts on the opposite side to improve mechanical stability and to place biological material for bridging.
We felt that it was both necessary and useful to complete what had been said and written on other occasions regarding our cases. This updating paper therefore contains the impressions arising out of expansion of our experience, some details of technique and above all a better designed therapeutic strategy that we feel will be more effective in solving the long-standing polymorphous problem of treatment of septic pseudoarthrosis.
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