DEPARTMENTS: INNOVATIONS IN PRACTICEThe use of extracorporeal shock waves in the treatment of delayed unions and nonunionsWest, Derek La; Hawkins, Bryan Jb; Langerman, Richard JcAuthor Information aOklahoma Center for Orthopedic Excellence & Sports Medicine Oklahoma City, OK, USA bCentral States Orthopedic Specialists Tulsa, OK, USA cSouthwest Orthopaedic and Reconstructive Specialist Oklahoma City, OK, USA. Correspondence to: D.L. West, DO, Oklahoma Center for Orthopedic Excellence & Sports Medicine, Suite A, 1230 SW 89th St, Oklahoma City, OK 73139, USA. E-mail: [email protected] Current Orthopaedic Practice: April 2008 - Volume 19 - Issue 2 - p 218-222 doi: 10.1097/BCO.0b013e3282f54d84 Buy Metrics Abstract This study highlights the emerging use of extracorporeal shock waves to treat nonunions and delayed unions. An overview of previous work performed in this area is presented. A feasibility study conducted by OssaTron (HealthTronics) is also reviewed, showing the results of high-energy extracorporeal shock wave for the treatment of nonunions in the proximal fifth metatarsal. Preliminary results support its effectiveness as a safe and less invasive means of treating difficult cases of nonunions or delayed unions. More research is needed to demonstrate the physiology of bone-healing induced by the use of shock wave therapy. © 2008 Lippincott Williams & Wilkins, Inc.