High-energy shock waves for the treatment of nonunions: an experiment on dogs.

Several surgical as well as nonsurgical modes of treatment of nonunions have been advocated in the literature. In an effort to achieve bony union in a new noninvasive way, we experimentally investigated the treatment of nonunions with extracorporeally induced high-energy shock waves. With use of a modified canine nonunion model, two randomized groups of five dogs each were set up to obtain a treatment and a control group.

Stone geometry and structure dependence on extracorporeal shock wave lithotripsy.

The in vitro fragmentation effects of electromagnetic-induced shock wave lithotripsy (Siemens Lithostar) were studied on parallel laminated schists in relation to the incoming shock wave energy and the incoming angle of the incident shock wave. Well above the threshold energy, the total amount of acoustic energy required for fragmentation remained unchanged regardless of the power setting of the high-tension supply. The amount of energy transmitted to the stone was limited by a total reflection angle, restricting the available transmission surface.

Electromagnetic shock wave lithotripsy of gallbladder stones in vitro: the role of different stone characteristics and treatment variables.

From 40 sets of five human gallstones obtained at cholecystectomy, four stones were subjected to either 125/250 (maximum generator output) or 250/500 (half maximum generator output) electromagnetic shock waves (treatments I/II and III/IV, respectively); the fifth stone was used for computed tomography (CT) and chemical analysis. Overall, 130 (81%) of 160 stones fragmented, including 72 (45%) adequately (fragments less than or equal to 5 mm). For the treatments I, II, III, and IV the overall fragmentation rates were 80%, 95%, 70%, and 80%, respectively.

Experiences with lithotripters: measurements of standardized fragmentation.

A comparison of lithotripters in terms of the fragmentation efficacy was established by using artificial stones. Two hundred pulses were applied to identical calcium sulphate cubes at varied energy levels of different lithotripters. In the cubics the shock waves formed regular craters, which could be analyzed with regard to depth, diameter, and volume.

Pressure distribution and energy flow in the focal region of two different electromagnetic shock wave sources.

In extracorporeal shock wave lithotripsy there is still a lack of knowledge about the basic physical terms that are essential for a scientific comparison of lithotripters with different technologies. The main goal of this article is to introduce the relation between pressure distribution, acoustic energy flow and intensity. The procedure of how these data can be achieved quantitatively is described.