Non-Operative Treatment Of Comminuted Tongue-Type Fracture Calcaneum By Low-Level Laser Therapy Via Promotion Of Bone Healing And Re-Modelling

摘要

Objective: The current clinical case series assess the use of low-level laser therapy (LLLT) in non-operative care of 7 patientswith tongue-type fractured calcaneum with significant comminution who refused surgery without the need of bone-grafting withthe aim of early rehabilitation with early ambulation with protected weight bearingMaterials and Methods: The patient cohort consisted of 7 consecutive unselected patients with tongue type calcaneum fractureall with significant degree of comminution. All the patients refused operation and prefer early fracture healing and ambulationwith non-operative means.Results: All patients on serial X-ray as well as CT scan checking not only had solid union of the significantly comminutedfracture, but all had good re-modelling of the buckling and increased width of the calcaneum bone. The calculated p value isstatistically significant at p < 0.01Conclusion: LLLT not only enhances fracture healing, it also has the power to help to re-model comminuted fracturedcalcaneum to spare the patient of operative intervention and at the same time allow early weight-bearing at a mean of 8 weeks,and help prevent unsightly widening of the os calcis bone.