A novel pulsed electromagnetic field device as an adjunct therapy to surgical treatment of distal radius fractures: a prospective, double-blind, sham-controlled, randomized pilot study

Shai Factor*, Ido Druckmann, Efi Kazum, Franck Atlan, Daniel Tordjman, Yishai Rosenblatt, Gilad Eisenberg, Tamir Pritsch

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: The purpose of this study is to evaluate whether using a Fracture Healing Patch (FHP) device that generates pulsed electromagnetic fields (PEMF), applied at the fracture site immediately after open reduction and internal fixation surgery, can accelerate healing of acute distal radius fractures. Methods: In a prospective, double-blind, randomized, and sham-controlled study, thirty-two patients with DRFs treated with ORIF were included. Patients were allocated to a PEMF (active) group (n = 15) or a control (sham) group (n = 17). All patients were assessed with regard to functional Patient-Rated Wrist Evaluation (PRWE), SF12, and radiological union outcomes (X-rays and computed tomography (CT) scans) at 2, 4, 6, and 12 weeks postoperatively. Results: Patients treated with the FHP demonstrated significantly bone bridging at 4 weeks as assessed by CT (70% vs 54%, p = 0.05). Mean grip strength in the active group was significantly higher as compared to control (16 ± 9 kg vs 7 ± 3.5 kg, respectively, p = 0. 02). The function subscale of the PRWE was significantly better in PEMF-treated group at 6 weeks after surgery (27.2 VS 35.5, p = 0.04). No statistically significant differences were found in SF12. Conclusion: PEMF application after ORIF of DRFs is safe, may accelerate bone healing which could lead to an earlier return to daily life activities and work.

Original languageEnglish
Pages (from-to)543-550
Number of pages8
JournalArchives of Orthopaedic and Trauma Surgery
Volume144
Issue number1
DOIs
StatePublished - Jan 2024

Keywords

  • Bone growth stimulation
  • Distal radius
  • Electrical stimulation therapy
  • Fracture
  • ORIF
  • Pulsed electromagnetic field
  • Union

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