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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 11, 1488-1494.
doi: 10.1302/0301-620X.89B11.19352  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Non-invasive interactive neurostimulation in the post-operative recovery of patients with a trochanteric fracture of the femur

A RANDOMISED, CONTROLLED TRIAL

I. G. Gorodetskyi, PhD, Professor1; A. I. Gorodnichenko, MD, Professor2; P. S. Tursin, MD, Professor3; V. K. Reshetnyak, MD, Director3; and O. N. Uskov, MD, Assistant2

1 Department of Ergonomics and Informational Measuring Systems, Moscow Aviation Technology Institute, Russian State Technological University, 22, Schepkina Street, Office 25, Moscow, Russia 129090.
2 Department of Traumatology and Orthopaedics
3 Scientific Educational Medical Centre, Federal Government Institution of the President of the Russian Federation, Postgraduate and Research Medical Centre, Street of Marshal Timoshenko 21, Moscow 12359, Russia.

Correspondence should be sent to Professor I. G. Gorodetskyi; e-mail: i.gorodetskyi{at}rambler.au

We undertook a trial on 60 patients with AO 31A2 fractures of the hip who were randomised after stabilisation of the fracture into two equal groups, one of which received post-operative treatment using a non-invasive interactive neurostimulation device and the other with a sham device. All other aspects of their rehabilitation were the same. The treatment was continued for ten days after operation.

Outcome measurements included the use of a visual analogue scale for pain, the brief pain inventory and Ketorolac for post-operative control of pain, and an overall assessment of outcome by the surgeon. There were significantly better results for the patients receiving treatment by active electrical stimulation (repeated measures analysis of variance, p < 0.001). The findings of this pilot trial justify a larger study to determine if these results are more generally applicable.






(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General