Evidence map›Paper›PMID 37578657›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Multicenter consensus statements on the use of low-intensity pulsed ultrasound (LIPUS) in Hand Surgery.

Victoria Franziska Struckmann, Annette Stolle, Arne Böcker, Stefan Hagl, Ulrich Kneser, Leila Harhaus

Abstract readMulticenter StudyConsensus Statement
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Victoria Franziska StruckmannDepartment of Hand, Plastic and Reconstructive Surgery, Burn Center, Department of Hand and Plastic Surgery of Heidelberg University, BG Trauma Center, Ludwigshafen, Germany. vfs@me.com.ORCID http://orcid.org/0000-0003-0374-1528
Annette StolleDepartment of Hand, Plastic and Reconstructive Surgery, Burn Center, Department of Hand and Plastic Surgery of Heidelberg University, BG Trauma Center, Ludwigshafen, Germany.
Arne BöckerDepartment of Hand, Plastic and Reconstructive Surgery, Burn Center, Department of Hand and Plastic Surgery of Heidelberg University, BG Trauma Center, Ludwigshafen, Germany.
Stefan HaglGespür Consulting, Fürstenrieder Str 279a, 81377, Munich, Germany.
Ulrich KneserDepartment of Hand, Plastic and Reconstructive Surgery, Burn Center, Department of Hand and Plastic Surgery of Heidelberg University, BG Trauma Center, Ludwigshafen, Germany.
Leila HarhausDepartment of Hand Surgery, Peripheral Nerve Surgery and Rehabilitation, BG Trauma Center, Ludwigshafen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this agreement was to establish consensus statements on the use of low-intensity pulsed ultrasound (LIPUS) in hand surgery.

methodsBased on Delphi consensus methodology, a preliminary list of questions on the use of LIPUS in hand surgery was developed by an interdisciplinary team of hand and plastic surgeons as well as psychologists and experts from communications science. Based on these, questionnaires were invented and a total of three Delphi rounds have been conducted. Delphi panelists consisted of 11 German hand surgeons with a mean experience in hand surgery of 15 years (7-23 years). Questions and statements were revised during this process, resulting in a consensus at the end of round three.

resultsAfter three Delphi rounds, the following recommendations could be derived. LIPUS can be applied for impaired fracture healing of the digits, metacarpals, carpal bones as well as a prophylactic procedure in order to avoid further revision surgery. LIPUS therapy can be useful in addition to revision surgery for delayed union and non-unions. In the case of certain risk factors (replantation, revascularization, osteoporosis, smoking), it can be applied directly postoperatively in order to prevent impaired fracture healing. It should be applied for 90-120 days.

conclusionThere is a consensus among German hand surgeons, when and how LIPUS can be applied for improving fracture healing of the hand. Randomized controlled trials with direct comparison of fracture treatment with and without LIPUS are needed to support these statements with objective data.

Indexed as

Fractures, BoneUltrasonic TherapyFracture HealingHandHumansUltrasonic WavesDelphiHand surgeryImpaired fracture healingLIPUS

Identifiers

PMID37578657

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.