The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.
Treatment of Nonunions With Electric and Electromagnetic Fields
Abstract
Electric and electromagnetic fields are, collectively, one form of biophysical technique which regulate extracellular matrix (ECM) synthesis and may be useful in clinically stimulating repair of fractures and nonunions. Preclinical studies have shown that electric and electromagnetic fields regulate proteoglycan (PG) and collagen synthesis in models of endochondral ossification, and increase bone formation in vivo and in vitro. A substantial number of clinical studies have been done that suggest acceleration of bone formation and healing, particularly osteotomies and spine fusions, by electric and electromagnetic fields. Many of these studies have used randomized, placebo controlled designs. In osteotomy trials, greater bone density, trabecular maturation, and radiographic healing were observed in actively treated, compared with placebo-treated patients. In spine fusions, average union rates of 80% to 90% were observed in actively treated patients across numerous studies compared with 65% to 75% in placebo-treated patients. Uncontrolled, longitudinal cohort studies of delayed and nonunions report mean union rates of approximately 75% to 85% in fractures previously refractory to healing. The few randomized controlled studies in delayed and nonunions suggest improved results with electric and electromagnetic fields compared with placebo treatment, and equivalent to bone grafts.
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Citations
Cites
Treatment of ununited tibial diaphyseal fractures with pulsing electromagnetic fields.
Bassett, C. A., Mitchell, S. N., & Gaston, S. R. (1981) · The Journal of Bone & Joint Surgery · doi:10.2106/00004623-198163040-00001 · Cited by 349
A double-blind trial of pulsed electromagnetic fields for delayed union of tibial fractures
Sharrard, W. (1990) · The Journal of Bone and Joint Surgery. British volume · doi:10.1302/0301-620x.72b3.2187877 · Cited by 341
Stimulation of Growth Factor Synthesis by Electric and Electromagnetic Fields
Aaron, R. K., Boyan, B. D., Ciombor, D. M., Schwartz, Z., & Simon, B. J. (2004) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-200402000-00006 · Cited by 270
Self-citationA multicenter study of the treatment of non-union with constant direct current.
Brighton, C. T., Black, J., Friedenberg, Z. B., Esterhai, J. L., Day, L. J., & Connolly, J. F. (1981) · The Journal of Bone & Joint Surgery · doi:10.2106/00004623-198163010-00002 · Cited by 254
Strain Rate and Timing of Stimulation in Mechanical Modulation of Fracture Healing
Goodship, A. E., Cunningham, J. L., & Kenwright, J. (1998) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-199810001-00012 · Cited by 229
Scott, G., & King, J. B. (1994) · The Journal of Bone & Joint Surgery · doi:10.2106/00004623-199406000-00005 · Cited by 217
Clinical Effects of Electromagnetic and Electric Fields on Fracture Healing
Ryaby (1998) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-199810001-00021 · Cited by 212
MOONEY, V. (1990) · Spine · doi:10.1097/00007632-199007000-00016 · Cited by 169
Brighton, C. T., & Pollack, S. R. (1985) · The Journal of Bone & Joint Surgery · doi:10.2106/00004623-198567040-00012 · Cited by 160
Low frequency EMF regulates chondrocyte differentiation and expression of matrix proteins
Ciombor, D. M., Lester, G. E., Aaron, R. K., et al. (2002) · Journal of Orthopaedic Research® · doi:10.1016/s0736-0266(01)00071-7 · Cited by 139
Self-citation
Cited by
Pall, M. L. (2013) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.12088 · Cited by 440
“The effects of EMF exposure on bone cannot be challenged, although there is still considerable question about the best ways to apply this clinically [33–44].”
BackgroundFracture healing in the elderly patient
Gruber, R., Koch, H., Doll, B. A., Tegtmeier, F., Einhorn, T. A., & Hollinger, J. O. (2006) · Experimental Gerontology · doi:10.1016/j.exger.2006.09.008 · Cited by 283
Stimulation of Growth Factor Synthesis by Electric and Electromagnetic Fields
Aaron, R. K., Boyan, B. D., Ciombor, D. M., Schwartz, Z., & Simon, B. J. (2004) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-200402000-00006 · Cited by 270
Self-citationGriffin, X. L., Costa, M. L., Parsons, N., & Smith, N. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008471.pub2 · Cited by 123
Adie, S., Harris, I. A., Naylor, J. M., Rae, H., Dao, A., Yong, S., & Ying, V. (2011) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.j.00869 · Cited by 69
Metadata
- Authors
- Aaron, R. K., Ciombor, D. M., & Simon, B. J.
- Venue
- Clinical Orthopaedics and Related Research
- Published
- 2004-02
- Volume
- 419
- Issue
- 419
- Pages
- 21-29
- ISSN
- 0009-921X (ISSN-L)
- OpenAlex
- W2076683520
- Cited by
- 275
- References
- 36
- FWCI
- 9.23
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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