Sd. Cook et al., ACCELERATION OF TIBIA AND DISTAL RADIUS FRACTURE-HEALING IN PATIENTS WHO SMOKE, Clinical orthopaedics and related research, (337), 1997, pp. 198-207
A low intensity ultrasound device was investigated as an accelerator o
f cortical and cancellous bone fracture healing in smokers and nonsmok
ers, Statistically significant reductions in healing time for smokers
and nonsmokers were observed for tibial and distal radius fractures tr
eated with an active ultrasound device compared with a placebo control
device, The healing time for a tibial fracture was reduced 41% in smo
kers and 26% in nonsmokers with the active ultrasound device, Similarl
y, distal radius fracture healing time was reduced by 51% in smokers a
nd 34% in nonsmokers with the active device. Treatment with the active
ultrasound device also substantially reduced the incidence of tibial
delayed unions in smokers and nonsmokers, The use of the active ultras
ound device accelerates cortical and cancellous bone fracture healing,
substantially mitigates the delayed healing effects of smoking, speed
s the return to normal activity, and reduces the longterm complication
of delayed union.