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Healing: Electrical Bone Stimulation (and Ultrasound)I
I don't feel very expert about bone stimulators. There was
a vogue for using electrical stimulators 20 years ago but they never found general
acceptance and other more direct methods of dealing with nonunions seem to work most of
Note added 22 Jan 2002
EBI has a patient information FAQ page about their electronic stimulation system - EBI Bone Healing System FAQ - Provided by the maunufacturer
Ultrasound Stimulation for Nonunion Fracture Healing: Decision Memorandum HCFA This has a useful description of fracture healing as well as a discussion of ultrasound. Concludes that Ultrasound stimulation should be covered for treatment of established nonunion.
There seem to be quite a few questions recently about bone stimulators. I know that's what brought me to this site in the first place.
From: In the Know
As for the quality of the clinical data investigating ultrasound therapy, there are 2 gold standard randomized prospective double-blind multi-center studies (JBJS for Both) which support that ultrasound (Exogen) speeds fracture healing on average around 40% in the active group. It is commercially available in Canada and has now been for more than a year.
I will be using an Exogen 2000 Sonic Accelerated Fracture Healing System, aka "Exogen Bone Stimulator" starting in two days I believe. Broke my ankle in three places (Trimalleolar break), Feb 24th 2002. Getting surgery tomorrow (March 8th), which will consist of two screws and a plate. Will be glad to post any information regarding my experience if anyone is interested. Just post a follow-up or email me.
I have had an EBI stimulator on for 5 weeks now. After one week an x-ray was taken and some bone growth was taking place. I really doubt if it was the EBI at that time. I also have been walking FWB the past month. I broke my fib/tib 11/12/2001. I have a circular fixator. I go to the doctor this Friday. Hopefully I will have good news concerning the EBI.
I broke my ankle in three places roller skating in april 2002 I had surgery and a plate and screws put in I was having an extreme amount of pain from hardware so the surgeon took it out. Several weeks later he released me saying everything was great. My pain did not go away, i have popping and my ankle gives out on me. I went to different surgeon, who has gottem me an EBI. It needs to be used 10 hours a day. and has its own little charger. I have used it since November 2001 and I am still haveing problems. The xrays show some growth but he cant tell how much. I will probably have to get another MRI to see how well it is working. I still may have to have surgery where they take bone from the hip. I keep crossing my fingers because 2 surgeries is 2 to many for me another one would make me crazy. The bone stimulator does not hurt but still could not tell you how well it has done and it has been almost 3 months.
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