title: Electromagnetic stimulation as coadjuvant in the healing of diaphyseal femoral fractures: a randomized controlled trial.
abstract: BACKGROUND
  There is controversy in medical literature regarding the use of electromagnetic fields to promote bone healing.
  
  
  METHODS
  After designing and building devices capable of generating an electromagnetic field for this study, their safety was confirmed and the electromagnetic therapy was randomly allocated and compared to placebo in patients with fracture of the femoral diaphysis. Treatment began six weeks after the fracture and it was administered once a day, during 1 h, for eight consecutive weeks. Twenty device were built, 10 of which were placebo-devices. Between June 2008 and October 2009, 64 patients were randomized in two different hospitals and were followed for 24 weeks. The mean age was 30 years (18-59) and 81% were males.
  
  
  RESULTS
  Healing observed at week 12 was 75% vs. 58% (p=0.1); at week 18 it was 94% vs. 80% (p=0.15); and at week 24 it was 94% vs. 87% (p=0.43) for the device group and the placebo group, respectively.
  
  
  CONCLUSIONS
  This study suggests that an electromagnetic field stimulus can promote earlier bone healing compared to placebo in femoral diaphyseal fractures. Faster bone healing translates into sooner weight bearing, which--in turn--permits quicker return to normal daily activities.
authors.affiliation: Universidad del Valle, Cali, Colombia.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Martinez-Rondanelli
authors.affiliation: Fundación Valle del Lili, Cali, Colombia.
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Martinez
authors.affiliation: Instituto Tecnológico Metropolitano, Medellín, Colombia.
authors.forename: María E
authors.initials: ME
authors.lastname: Moncada
authors.affiliation: Fundación Valle del Lili, Cali, Colombia.
authors.forename: Eliana
authors.initials: E
authors.lastname: Manzi
authors.affiliation: Universidad del Valle, Cali, Colombia.
authors.forename: Carlos Rafael
authors.initials: CR
authors.lastname: Pinedo
authors.affiliation: Universidad del Valle, Cali, Colombia.
authors.forename: Hector
authors.initials: H
authors.lastname: Cadavid
mesh_terms: D000293:Adolescent; D000328:Adult; D018483:Diaphyses / Q000473:pathology; D004311:Double-Blind Method; D005260:Female; D005264:Femoral Fractures / Q000628:therapy*; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology*; D006801:Humans; D055909:Magnetic Field Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology; D055815:Young Adult
keywords: Femur fracture; bone healing; electromagnetic stimuli; non-union
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