Effect of electrical stimulation on bone healing

2018 ◽  
pp. 387-402
Author(s):  
Michelle Griffin ◽  
Ardeshir Bayat
2018 ◽  
Vol 5 (4) ◽  
pp. 90
Author(s):  
Eileen Cadel ◽  
Ember Krech ◽  
Paul Arnold ◽  
Elizabeth Friis

Electrical stimulation devices can be used as adjunct therapy to lumbar spinal fusion to promote bone healing, but their adoption has been hindered by the large battery packs necessary to provide power. Piezoelectric composite materials within a spinal interbody cage to produce power in response to physiological lumbar loads have recently been investigated. A piezoelectric macro-fiber composite spinal interbody generated sufficient power to stimulate bone growth in a pilot ovine study, despite fabrication challenges. The objective of the present study was to electromechanically evaluate three new piezoelectric disc composites, 15-disc insert, seven-disc insert, and seven-disc Compliant Layer Adaptive Composite Stack (CLACS) insert, within a spinal interbody, and validate their use for electrical stimulation and promoting bone growth. All implants were electromechanically assessed under cyclic loads of 1000 N at 2 Hz, representing physiological lumbar loading. All three configurations produced at least as much power as the piezoelectric macro-fiber composites, validating the use of piezoelectric discs for this application. Future work is needed to characterize the electromechanical performance of commercially manufactured piezoelectric stacks under physiological lumbar loads, and mechanically assess the composite implants according to FDA guidelines for lumbar interbody fusion devices.


2018 ◽  
Vol 11 ◽  
pp. 217-232 ◽  
Author(s):  
Jawad M. Khalifeh ◽  
Zohny Zohny ◽  
Matthew MacEwan ◽  
Manu Stephen ◽  
William Johnston ◽  
...  

2021 ◽  
Author(s):  
Peter Nicksic ◽  
Kevin Rymut ◽  
Nishant Verma ◽  
Aaron Dingle ◽  
Christopher Doror ◽  
...  

Objective To determine if electrical stimulation (ES) reduces days to radiographic union of acute fractures Data Sources MEDLINE database search using the terms combinations of electric stimulation AND bone healing, electric stimulation AND fracture, electric stimulation AND fracture healing, full articles, English language, without publication date restriction Study Selection Inclusion criteria were (1) randomized-controlled trials concerning electrical stimulation for the purpose of healing acute fractures with (2) outcomes on radiographic union at regular time intervals. Exclusion criteria were (1) studies involving skeletally immature patients or (2) ES for non-unions, spinal fusions, and osteotomies. Data Extraction Study quality was assessed with the Cochrane Collaboration tool for risk of bias assessment by 2 independent reviewers. Heterogeneity between studies was assessed with the χ2 and I2 tests. Data Synthesis The mean days to radiographic union was calculated as a continuous variable with standard deviations. The meta-analysis was performed to compare the ES and non-ES groups across studies using Metafor; software (Bell Labs, Murray Hill, NJ, United States). Conclusion Electrical stimulation does not reduce time to radiographic union in acute fractures. However, an improvement in the healing time was noted in the semi-invasive method of ES in which the current was delivered directly within the fracture site. This finding provides evidence that innovative methods of ES delivery may demonstrate the promising results found in smaller animal studies. Keywords: Electric Stimulation, Bone Healing, Fracture Level of Evidence: Level I


1983 ◽  
Vol 23 (3) ◽  
pp. 265
Author(s):  
J. Hellinger ◽  
J. Kleditzsch ◽  
P. Güttler

2010 ◽  
Vol 28 (3) ◽  
pp. 140-143 ◽  
Author(s):  
Miwa Nakajima ◽  
Motohiro Inoue ◽  
Tatsuya Hojo ◽  
Nozomu Inoue ◽  
Kazuto Tanaka ◽  
...  

Background Electrical stimulation is used to promote bone reunion, and is most effective when applied directly to the fracture site. Objective To examine the effects of electroacupuncture (EA) on the healing process of tibia fracture in a rat model. Methods Thirty 12-week-old male Wistar rats underwent unilateral open osteotomies of the tibiae. The rats were then assigned randomly to three groups: EA group (n=10), sham group (n=10) and control group (n=10). In the EA group, a cathodal electrode was connected to an acupuncture needle percutaneously penetrated directly at the surgery site, while an acupuncture needle inserted at 15 mm proximal to the surgery site was used as an anodal electrode. EA (50 Hz, 20 μA, 20 min) was performed daily for 3 weeks. In the sham group the acupuncture needles were inserted at the same sites but no electrical stimulation was given and in the control group, no treatment was given. The response was evaluated at 1, 3, 4 and 6 weeks after surgery by radiographic, macroscopic and mechanical examinations. Results The EA group showed accelerated bone healing (EA group 29.92±4.55 mm2, sham group 26.46±5.21 mm2, control group 26.19±2.81 mm2, p<0.05 at 3 weeks) and accretion of the callus (radiographic evaluation: EA group 35.66±4.37 mm2, sham group 32.60±5.73 mm2, control group 29.72±6.39 mm2, p<0.05 at 6 weeks) compared with the other groups. Mechanical testing also showed an excellent result (EA group 16.54±9.92 N, sham group 7.13±3.57 N, control group 6.67±3.12 N, p<0.05) at 6 weeks in the EA group compared with the other groups. There was no difference between the sham and control groups in any evaluation. Conclusion The use of EA enhanced callus development and bone mineralisation during the bone healing process.


1979 ◽  
Vol 67 (9) ◽  
pp. 1352-1353 ◽  
Author(s):  
J.S. Pliskin ◽  
S. Wientroub

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