Ultrasound in Medicine and Biology
Volume 35, Issue 8 , Pages 1290-1297 , August 2009

No Midterm Benefit from Low Intensity Pulsed Ultrasound after Chevron Osteotomy for Hallux Valgus

  • Max Zacherl

      Affiliations

    • Department of Orthopaedic Surgery, Medical University of Graz, Graz, Austria
    • Corresponding Author InformationAddress correspondence to: Max Zacherl, M.D., Department of Orthopaedic Surgery, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria.
  • ,
  • Gerald Gruber

      Affiliations

    • Department of Orthopaedic Surgery, Medical University of Graz, Graz, Austria
  • ,
  • Roman Radl

      Affiliations

    • Department of Orthopaedic Surgery, Medical University of Graz, Graz, Austria
  • ,
  • Peter H. Rehak

      Affiliations

    • Department of Surgery, Research Unit for Biomedical Engineering and Computing Medical University of Graz, Graz, Austria
  • ,
  • Reinhard Windhager

      Affiliations

    • Department of Orthopaedic Surgery, Medical University of Graz, Graz, Austria

Received 12 April 2008 ,Revised 27 February 2009 ,Accepted 8 March 2009.

References 

  1. Austin DW, Leventen EO. A new osteotomy for hallux valgus: A horizontally directed “V” displacement osteotomy of the metatarsal head for hallux valgus and primus varus. Clin Orthop Relat Res. 1981;157:25–30
  2. Azuma Y, Ito M, Harada Y, Takagi H, Ohta T, Jingushi S. Low-intensity pulsed ultrasound accelerates rat femoral fracture healing by acting on the various cellular reactions in the fracture callus. J Bone Miner Res. 2001;16:671–680
  3. Beller EM, Gebski V, Keech AC. Randomisation in clinical trials. Med J Aust. 2002;177:565–567
  4. Busse JW, Bhandari M, Kulkarni AV, Tunks E. The effect of low-intensity pulsed ultrasound therapy on time to fracture healing: A meta-analysis. CMAJ. 2002;166:437–441
  5. Chan CW, Qin L, Lee KM, Zhang M, Cheng JC, Leung KS. Low intensity pulsed ultrasound accelerated bone remodeling during consolidation stage of distraction osteogenesis. J Orthop Res. 2006;24:263–270
  6. Cook SD, Ryaby JP, McCabe J, Frey JJ, Heckman JD, Kristiansen TK. Acceleration of tibia and distal radius fracture healing in patients who smoke. Clin Orthop Relat Res. 1997;337:198–207
  7. Duarte LR. The stimulation of bone growth by ultrasound. Arch Orthop Trauma Surg. 1983;101:153–159
  8. Emami A, Petren-Mallmin M, Larsson S. No effect of low-intensity ultrasound on healing time of intramedullary fixed tibial fractures. J Orthop Trauma. 1999;13:252–257
  9. Ferrari J, Higgins JP, Prior TD. Interventions for treating hallux valgus (abductovalgus) and bunions. Cochrane Database Syst Rev. 2004;CD000964
  10. Grant S, Aitchison T, Henderson E, Christie J, Zare S, McMurray J, et al. A comparison of the reproducibility and the sensitivity to change of visual analogue scales, Borg scales, and Likert scales in normal subjects during submaximal exercise. Chest. 1999;116:1208–1217
  11. Heckman JD, Ryaby JP, McCabe J, Frey JJ, Kilcoyne RF. Acceleration of tibial fracture-healing by noninvasive, low-intensity pulsed ultrasound. J Bone Joint Surg Am. 1994;76:26–34
  12. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16:494–502
  13. Kristiansen TK, Ryaby JP, McCabe J, Frey JJ, Roe LR. Accelerated healing of distal radial fractures with the use of specific, low-intensity ultrasound. A multicenter, prospective, randomized, double-blind, placebo-controlled study. J Bone Joint Surg Am. 1997;79:961–973
  14. Lelièvre J. Pathologie du pied. Paris: Masson; 1967;
  15. Lu H, Qin L, Cheung W, Lee K, Wong W, Leung K. Low-intensity pulsed ultrasound accelerated bone-tendon junction healing through regulation of vascular endothelial growth factor expression and cartilage formation. Ultrasound Med Biol. 2008;34:1248–1260
  16. Lubbert PH, van der Rijt RH, Hoorntje LE, van der Werken C. Low-intensity pulsed ultrasound (LIPUS) in fresh clavicle fractures: A multi-centre double blind randomised controlled trial. Injury. 2008;39:1444–1452
  17. Malizos KN, Papachristos AA, Protopappas VC, Fotiadis DI. Transosseous application of low-intensity ultrasound for the enhancement and monitoring of fracture healing process in a sheep osteotomy model. Bone. 2006;38:530–539
  18. Mann RA, Donatto KC. The chevron osteotomy: A clinical and radiographic analysis. American Orthopaedic Foot and Ankle Society/Swiss Foot and Ankle Society. Foot Ankle Int. 1997;18:255–261
  19. Mayr E, Frankel V, Ruter A. Ultrasound–An alternative healing method for nonunions?. Arch Orthop Trauma Surg. 2000;120:1–8
  20. Omi H, Mochida J, Iwashina T, Katsuno R, Hiyama A, Watanabe T, et al. Low-intensity pulsed ultrasound stimulation enhances TIMP-1 in nucleus pulposus cells and MCP-1 in macrophages in the rat. J Orthop Res. 2008;26:865–871
  21. Parvizi J, Vegari D. Pulsed low-intensity ultrasound for fracture healing. Foot Ankle Clin. 2005;10:595–608vii
  22. Radl R, Leithner A, Zacherl M, Lackner U, Egger J, Windhager R. The influence of personality traits on the subjective outcome of operative hallux valgus correction. Int Orthop. 2004;28:303–306
  23. Roukis TS, Weil LS, Landsman AS. Predicting articular erosion in hallux valgus: Clinical, radiographic, and intraoperative analysis. J Foot Ankle Surg. 2005;44:13–21
  24. Rubin C, Bolander M, Ryaby JP, Hadjiargyrou M. The use of low-intensity ultrasound to accelerate the healing of fractures. J Bone Joint Surg Am. 2001;83-A:259–270
  25. Sakurakichi K, Tsuchiya H, Uehara K, Yamashiro T, Tomita K, Azuma Y. Effects of timing of low-intensity pulsed ultrasound on distraction osteogenesis. J Orthop Res. 2004;22:395–403
  26. Schneider W, Csepan R, Knahr K. Reproducibility of the radiographic metatarsophalangeal angle in hallux surgery. J Bone Joint Surg Am. 2003;85-A:494–499
  27. Sheiner E, Freeman J, Abramowicz JS. Acoustic output as measured by mechanical and thermal indices during routine obstetric ultrasound examinations. J Ultrasound Med. 2005;24:1665–1670
  28. Takeuchi R, Ryo A, Komitsu N, Mikuni-Takagaki Y, Fukui A, Takagi Y, et al. Low-intensity pulsed ultrasound activates the phosphatidylinositol 3 kinase/Akt pathway and stimulates the growth of chondrocytes in three-dimensional cultures: A basic science study. Arthritis Res Ther. 2008;10:R77
  29. Tanzer M, Kantor S, Bobyn JD. Enhancement of bone growth into porous intramedullary implants using noninvasive low intensity ultrasound. J Orthop Res. 2001;19:195–199
  30. Trnka HJ, Parks BG, Ivanic G, Chu IT, Easley ME, Schon LC, et al. Six first metatarsal shaft osteotomies: Mechanical and immobilization comparisons. Clin Orthop Relat Res. 2000;381:256–265
  31. Trnka HJ, Zembsch A, Easley ME, Salzer M, Ritschl P, Myerson MS. The chevron osteotomy for correction of hallux valgus. Comparison of findings after two and five years of follow-up. J Bone Joint Surg Am. 2000;82-A:1373–1378
  32. Vittetoe DA, Saltzman CL, Krieg JC, Brown TD. Validity and reliability of the first distal metatarsal articular angle. American Orthopaedic Foot and Ankle Society/Swiss Foot and Ankle Society. Foot Ankle Int. 1994;15:541–547
  33. Warden SJ, McMeeken JM. Ultrasound usage and dosage in sports physiotherapy. Ultrasound Med Biol. 2002;28:1075–1080

PII: S0301-5629(09)00108-2

doi: 10.1016/j.ultrasmedbio.2009.03.008

Ultrasound in Medicine and Biology
Volume 35, Issue 8 , Pages 1290-1297 , August 2009