II–2 New Approach for Smooth Introduction of Low Intensity Pulsed Ultrasound (LIPUS) Treatment. Issue 5 (May 2015)

• Record Type: Journal Article
• Authors: Goto, Satoshi; Yasuda, Gaku
• Is Part Of: Journal of orthopaedic trauma. Volume 29:Issue 5(2015)
• Publication Date: 2015-05
• Subjects: Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/01.bot.0000462957.79612.b5
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Effectiveness of Low Intensity Pulsed Ultrasound (LIPUS) in bony union of refractory fracture has been proved by many studies. Duration shortening of bony union and prevention for non-union of common postoperative cases in comminuted fracture are expected with additional indication of LIPUS in public health insurance system. However, in the past, we sometimes hesitated to conduct LIPUS due to the complicated procedures of introduction for LIPUS and, we could not well utilize the effectiveness of LIPUS. Then, we tried to systematize the procedure for introduction of LIPUS. And, we asked medical social worker (MSW) in order to dissolve complicated procedure for the physician at the introduction of LIPUS. After systemizing the procedure, all comminuted fracture cases which needed osteosynthesis are basically treated with LIPUS, and physician marks the LIPUS treatment as part at the operation. The MSW is in charge of all the correspondence to the patient such as office work regarding an expense, and the physician only gives the instruction for the treatment and confirms it at the end. Currently, the number of cases we give LIPUS treatment has remarkably decreased, and what we have done including cooperation of MSW must be very useful to conduct LIPUS for operative comminuted fracture and make LIPUS more effective.