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Abstract：
Compared to other long bones, forearm fractures are particularly challenging due to the high rate of complications. These include malunion, delayed/nonunion, wrist and elbow movement reduction, and pain. Surgical procedure is considered the gold standard for managing delayed union and nonunion of the long bones. However, in the last decades, extracorporeal shockwave therapy (ESWT) has emerged as an effective and less invasive approach to enhance bone regeneration and fracture healing, avoiding major complications of surgical procedures. In contrast to the broad literature reporting good clinical results of ESWT in the treatment of nonunions, there is currently limited evidence regarding the clinical application of shock waves on long bone delayed fractures, particularly those of the forearm. In the present paper, we report a case of delayed bone healing of the diaphyseal region of the ulna treated with focused ESWT. The successful case experienced bone healing at the fracture site in less than 3 months after initial ESWT treatment. Acknowledging the limitation of reporting a case report, however, the remarkable clinical results and the absence of side effects contribute valuable information in support of the use of ESWT as an effective alternative to standard surgery for forearm fractures.
摘要：
与其他长骨相比，由于并发症发生率高,前臂骨折尤其具有挑战性.这些包括马兰，延迟/不愈合，腕部和肘部运动减少，和痛苦。外科手术被认为是管理长骨延迟愈合和不愈合的黄金标准。然而,在过去的几十年里，体外冲击波疗法（ESWT）已成为一种有效且侵入性较小的方法来增强骨再生和骨折愈合，避免外科手术的主要并发症。与广泛的文献报道ESWT治疗骨不连的良好临床效果相反，目前关于冲击波在长骨延迟骨折中的临床应用的证据有限，尤其是前臂。在本论文中，我们报告了一例使用聚焦ESWT治疗的尺骨干区域骨延迟愈合的病例。成功的病例在初始ESWT治疗后不到3个月的时间内经历了骨折部位的骨愈合。确认报告病例报告的局限性，然而,显著的临床结果和无副作用为支持使用ESWT作为前臂骨折标准手术的有效替代方案提供了有价值的信息.
