Low-intensity pulsed ultrasonography versus electrical stimulation for fracture healing .
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Low-intensity pulsed ultrasonography versus electrical stimulation for fracture healing: a systematic review and network meta-analysis
Can J Surg. 2014 Jun;57(3):E105-E118A systematic review and network meta-analysis containing 27 RCTs that focused on low-intensity pulsed ultrasonography (LIPUS) or electrical stimulators (ESTIM) was conducted to examine the effect of either treatment on fracture healing. Results from the systematic review and network analysis indicated that low-intensity pulsed ultrasonography (LIPUS) and electrical stimulators (ESTIM) result in comparable fracture union rates to standard care, but that there may be a potential benefit to using LIPUS at 6 months for fresh fractures and ESTIM for nonunion populations at 3 months. Further high quality evidence is required to further investigate these treatments.
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