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Effect of noninvasive low intensity ultrasound on bone growth into porous‐coated implants
Author(s) -
Tanzer M.,
Harvey E.,
Kay A.,
Morton P.,
Bobyn J. D.
Publication year - 1996
Publication title -
journal of orthopaedic research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 155
eISSN - 1554-527X
pISSN - 0736-0266
DOI - 10.1002/jor.1100140609
Subject(s) - ultrasound , low intensity pulsed ultrasound , medicine , intensity (physics) , femur , stimulation , therapeutic ultrasound , biomedical engineering , nuclear medicine , radiology , surgery , physics , quantum mechanics
Abstract Noninvasive low intensity ultrasound has been shown to be an effective means of accelerating bone fracture healing in both animal and clinical studies. An in vivo canine study was designed to determine if noninvasive low intensity ultrasound could influence the rate and extent of bone growth into porous‐coated implants. Twenty‐two pairs of fully porous transcortical implants were inserted bilaterally into the femora of 12 dogs. In each dog, one femur served as a control and the other was subjected to daily ultrasound stimulation for 2, 3, or 4 weeks. Overall, the ultrasound‐stimulated implants demonstrated an 18% increase in bone ingrowth compared with their contralateral controls (p = 0.02). Noninvasive low intensity ultrasound had its greatest effect in the first 2–3 weeks of stimulation. At 2 and 3 weeks, the ultrasound‐stimulated implants showed 21 and 16% more ingrowth than their respective contralateral controls. Because noninvasive low intensity ultrasound had a positive effect on bone ingrowth in this experimental investigation, further research is suggested to assess the clinical potential for application to noncemented porous‐coated total joint replacements.