OBJECTIVES: To evaluate the influence of shock wave therapy (SWT) on radiographic evidence of bone healing after @entity4957 ( @entity4957 ). METHODS: Healthy @entity235 between two to nine years of age that underwent @entity4957 were randomly assigned to receive either electro-hydraulic SWT (1,000 shocks) or sham treatment (SHAM). Treatment or SHAM was administered to the osteotomy site immediately postoperatively and two weeks postoperatively. Three blinded radiologists evaluated orthogonal radiographs performed eight weeks postoperatively with both a 5-point and a 10-point bone healing scale. Linear regression analysis was used to compare median healing scores between groups. RESULTS: Forty-two @entity235 (50 stifles) were included in the statistical analysis. No major complications were observed and all osteotomies healed uneventfully. The median healing scores were significantly higher at eight weeks postoperatively for the SWT group compared to the SHAM group for the 10-point (p <0.0002) and 5-point scoring systems (p <0.0001). CLINICAL SIGNIFICANCE: Shock wave therapy applied immediately and two weeks postoperatively led to more advanced bone healing at the eight week time point in this study population. The results of this study support the use of electro-hydraulic SWT as a means of accelerating acute bone healing of @entity235 osteotomies. Additional studies are needed to evaluate its use for acceleration of bone healing following @entity174 , or with delayed union.

High energy focused shock wave therapy accelerates bone healing. A blinded, prospective, randomized XXXX clinical trial.

@entity235 :: ('9615', 'Species') :: ['canine', 'dogs'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity4957 :: ('MESH:D020429', 'Disease') :: ['tibial plateau leveling osteotomy', 'TPLO']
@entity235 :: (9615,Species) :: ['canine']
