Distal Radius Fracture Clinical Trial
Official title:
Pulsed Electromagnetic Fields in the Treatment of Fresh Distal Radius Fractures. A Prospective, Double Blind, Placebo Controlled, Randomized Trial
Distal radial fractures (DRF) are the most common fractures encountered in health care.
Annualized estimates in the United States alone suggest an incidence of approximately 640,000
cases, and rising, per year. Most fractures may be treated in a plaster cast, but unstable
fractures tend to displace without a surgical procedure. 1
Pulsed electromagnetic field (PEMF) is one modality commonly used to stimulate bone
generation throughout various clinical settings including orthoapedic surgery. PEMF has been
shown to primarily effect vascular generation, formation and neovascularization2,3. This may
help decrease time to healing and allow patients to return to normal activities sooner.
Additional study demonstrated that PEMF exposure increased cell proliferation, adhesion and
the osteogenic commitment of MSCs, even in inflammatory conditions. In this in-vitro model
PEMFs increased the expression of anti-inflammatory cytokines, such as IL-10, and reduced the
expression of the pro-inflammatory cytokine IL-1 4.
The distal radius fracture was chosen as the model to test the effects of PEMF treatment
because it includes both trabecular and cortical bone, is accessible for radiographs, has
little soft tissue that can distort the radiograph, and is amenable to multiple functional
endpoints.
The purpose of the study is to determine whether the use of FHP by means of pulsed
electromagnetic fields in acute distal radius fractures will accelerate healing both
clinically and radiotralogically
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