title: Pulsed low-intensity ultrasound: a new salvage procedure for delayed unions and nonunions after leg lengthening in children.
abstract: From 1998 to 2001, 112 lengthening procedures with or without deformity correction were performed in 108 children by external fixation with the Ilizarov method. Of these cases, 16.9% did not lead to a solid bone consolidation. Two children were operated the second time, mainly because of the parent's decision. Seventeen delayed unions or nonunions in 13 children were treated with low-intensity pulsed ultrasound. All 17 cases healed within 3 to 12 months without any risk of surgical intervention.
authors.affiliation: Orthopedic Clinic Tegernsee, Tegernsee, Germany. dieter.gebauer@lva-landshut.de
authors.forename: Dieter
authors.initials: D
authors.lastname: Gebauer
authors.forename: Johannes
authors.initials: J
authors.lastname: Correll
mesh_terms: D000293:Adolescent; D001852:Bone Lengthening / Q000379:methods*; D002648:Child; D005260:Female; D005592:Fracture Fixation / Q000379:methods; D017102:Fracture Healing; D050723:Fractures, Bone / Q000503:physiopathology / Q000628:therapy; D005599:Fractures, Ununited / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D018889:Ilizarov Technique; D007866:Leg / Q000473:pathology / Q000601:surgery; D008297:Male; D016879:Salvage Therapy; D013977:Tibia / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000379:methods*