CT scan-evaluated outcome of pulsed electromagnetic fields
in the treatment of acute scaphoid fractures: a randomised, multicentre, double-blind, placebo-controlled
trial

P. F. W. Hannemann; M. R. van Wezenbeek; K. A. Kolkman; E. L. L. Twiss; C. H. J. Berghmans; P. A. M. G. M. Dirven; P. R. G. Brink; M. Poeze

doi:10.1302/0301-620X.96B8.33767

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CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures

a randomised, multicentre, double-blind, placebo-controlled trial

P. F. W. Hannemann
M. R. van Wezenbeek
K. A. Kolkman
E. L. L. Twiss
C. H. J. Berghmans
P. A. M. G. M. Dirven
P. R. G. Brink
M. Poeze

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CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures

Hannemann PFW, van Wezenbeek MR, Kolkman KA, et al. CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures. Bone Joint J. 2014;96-B(8):1070-1076. doi:10.1302/0301-620X.96B8.33767

Hannemann, P. F. W., et al. “CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures.” The Bone & Joint Journal, vol. 96-B, no. 8, 2014, pp. 1070-1076., https://doi.org/10.1302/0301-620X.96B8.33767

Hannemann, P. F. W., van Wezenbeek, M. R., Kolkman, K. A., Twiss, E. L. L., Berghmans, C. H. J., Dirven, P. A. M. G. M., Brink, P. R. G., & Poeze, M. (2014). CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures. The Bone & Joint Journal, 96-B(8), 1070-1076. https://doi.org/10.1302/0301-620X.96B8.33767

Hannemann, P. F. W., van Wezenbeek, M. R., Kolkman, K. A., Twiss, E. L. L., Berghmans, C. H. J., Dirven, P. A. M. G. M. et al. (2014) “CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures.” The Bone & Joint Journal, 96-B(8), pp. 1070-1076. Available at: https://doi.org/10.1302/0301-620X.96B8.33767

Hannemann, P. F. W., M. R. van Wezenbeek, K. A. Kolkman, E. L. L. Twiss, C. H. J. Berghmans, P. A. M. G. M. Dirven, P. R. G. Brink, and M. Poeze. “CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures.” The Bone & Joint Journal 96-B, no. 8 (2014): 1070-1076. https://doi.org/10.1302/0301-620X.96B8.33767

Hannemann PFW, van Wezenbeek MR, Kolkman KA, Twiss ELL, Berghmans CHJ, Dirven PAMGM, et al. CT scan-evaluated outcome of pulsed electromagnetic fields in the treatment of acute scaphoid fractures. Bone Joint J. 2014 Aug 1;96-B(8):1070-1076. https://doi.org/10.1302/0301-620X.96B8.33767

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Abstract

We hypothesised that the use of pulsed electromagnetic field (PEMF) bone growth stimulation in acute scaphoid fractures would significantly shorten the time to union and reduce the number of nonunions in a randomised, double-blind, placebo-controlled multicentre trial. A total of 102 patients (78 male, 24 female; mean age 35 years (18 to 77)) from five different medical centres with a unilateral undisplaced acute scaphoid fracture were randomly allocated to PEMF (n = 51) or placebo (n = 51) and assessed with regard to functional and radiological outcomes (multiplanar reconstructed CT scans) at 6, 9, 12, 24 and 52 weeks. The overall time to clinical and radiological healing did not differ significantly between the active PEMF group and the placebo group. We concluded that the addition of PEMF bone growth stimulation to the conservative treatment of acute scaphoid fractures does not accelerate bone healing.

Cite this article: Bone Joint J 2014; 96-B:1070–6.

Correspondence should be sent to Dr P. F. W. Hannemann; e-mail: pfwhannemann@gmail.com

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