The use of shock wave treatment in the regenerate of tibial pseudarthrosis (Atena Editora)

Abstract

Pseudarthrosis is defined by a failure of bone healing without radiographic evidence of progression. Treatment first consists of identifying its type, according to the three classifications of the pathology, well vascularized, poorly vascularized and synovial. The surgical process in these cases is the most used, however, a less invasive technique has been applied, Shock Wave Treatment (TOC). TOC is performed with a device that emits acoustic waves, with a greater energy capacity than Ultrasound, applied to the injured region. Sessions last an average of ten to twenty minutes, and each patient reacts differently to the process, however, studies show that from the third session onwards it is already possible to notice the first results. Treatment using shock waves aims to release free radicals, nitric oxide, growth factors and cell differentiation, therefore generating an increase in collagen production and an increase in neovascularization and angiogenesis, thus stimulating regeneration. tissue. To act this way, the technique helps in the complete healing of the fracture by more than 70%, being considered effective in pseudarthrosis. This case study has data from the treatment of a patient with a fracture of the left tibia, who underwent a surgical procedure that progressed to chronic osteomyelitis (COM) and pseudarthrosis, with a total of five TOC sessions being carried out, in which a significant improvement was obtained in the clinical picture of the patient.