Abstract

In this work we will analyze an innovative method using radial shock waves for the treatment of pseudarthrosis in superficial bones, avoiding surgical treatment that is usual for these cases. Treatment with shock waves promotes consolidation by stimulating osteoblasts and tissue regeneration factors, without the need for further surgery, reducing risks for patients. Forty consecutive cases were treated between June 2016 and December 2018. All patients had received indication for surgical treatment to correct the consolidation failure and therefore no control group or use of placebo treatment was made so as not to harm patients. Twenty-two men and 18 women were treated, ranging from 18 to 83 years with an average of 30.2 years. The mean time between the beginning of treatment with radial Shock Waves and the last treatment of the fracture was 8.8 months ranging from 6 to 38 months. In each session, 3000 radial waves were applied, the first 500 with 2 pressure bar for analgesia and 2500 waves with 4 bar for effective treatment. The site of the application of radial shock waves was determined by radiographs. Treatment was performed in an outpatient clinic without the need for hospitalization or anesthesia. Patients were reevaluated with radiographs after treatment in the periods of 2.4 and 6 months. The criterion for evaluation was radiographs evidencing.