Low-intensity pulsed ultrasound (LIPUS) therapy may enhance the negative effects of oxygen radicals in the acute phase of fracture.
Though it is well accepted that low-intensity pulsed ultrasound (LIPUS) can accelerate the healing process of a fracture with very good results, we should still pay attention to its side effects and further improve its application in detail, such as the appropriate time and point for the application. In the early phase of a bone fracture, there are millions of oxygen radicals released by neutrophils in the injured area. This article focuses on whether the increased permeability of normal cell membranes by LIPUS makes the concentration of oxygen radicals increase to such a high degree that damage occurs to healthy tissue cells. It is proposed that it may be better not to use LIPUS in the acute phase of a fracture (i.e. within 1week after injury) but instead delay its application until after any inflammatory reaction has weakened to yield better results.
Department of Orthopaedic Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, People's Republic of China.
Xiang
X
Zhao
Shi-Gui
SG
Yan
D000818:Animals; D001842:Bone and Bones / Q000166:cytology; D002462:Cell Membrane / Q000378:metabolism; D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008954:Models, Biological; D009504:Neutrophils / Q000166:cytology / Q000378:metabolism; D010100:Oxygen / Q000737:chemistry; D017382:Reactive Oxygen Species; D014464:Ultrasonic Therapy / Q000379:methods*; D014465:Ultrasonics; D018617:Ultrasonography, Doppler, Pulsed / Q000379:methods*
D017382:Reactive Oxygen Species; D010100:Oxygen