Glasgow surgeon using ultrasound to treat fractures

By Eleanor Bradford BBC Scotland Health Correspondent

Doctors in the Scottish city which pioneered the use of ultrasound to scan the

body are now using it to heal broken bones.

Orthopaedic surgeon Angus MacLean has been using the technology at Glasgow's

Royal Infirmary's fracture clinic.

It has been shown to speed up recovery times for patients with severe fractures

by more than a third.

Ultrasound was first developed as a diagnostic tool in Glasgow in the 1950s.

Mr MacLean said: "We use it for difficult fractures, the ones with problems

with healing, and it's a very simple, painless treatment that we can give.

"It's a very interesting scientific development and there's good evidence that

it just vibrates the cells a little which then stimulates healing and

regeneration in the bone."

A team of specialists, led by Professor Ian Donald, produced the first images

of the body using a technology adapted from sonar at Glasgow's Western

Infirmary.

It has become one of the most common medical technologies in the world.

Start Quote

Gary Denham

My leg healed after four months and I'm looking to go back to work within eight

months

Gary Denham Patient

But it is only now, 50 years later, that its potential for aiding the healing

process is being unlocked.

Apprentice engineer Gary Denham was offered ultrasound treatment after he fell

20ft (6m) from a water tank and broke his ankle into eight pieces.

"It's got a wee strap and that goes round where the break was," he explained.

"I put some gel on the probe and then I just put the probe inside the strap and

then just basically leave it for 20 minutes. There's no sensation at all, it's

completely painless."

Mr Denham's injury was so severe that there was a chance it would never heal

and might eventually have to be amputated.

After ultrasound treatment, he was back on his feet within months.

He added: "I'd never heard of it before, but my leg healed after four months

and I'm looking to go back to work within eight months."

Because of the costs involved - around 1,000 per patient - ultrasound is only

being used on complex fractures at Glasgow Royal Infirmary but Mr Denham's

doctor, Mr MacLean, is very happy with the results.

Orthopaedic surgeon Angus MacLean Orthopaedic surgeon Angus MacLean is leading

the use of the technology at Glasgow Royal Infirmary

"Before we used ultrasound I would expect to see this kind of injury healing

with some difficulty, and some of them don't heal at all," he said.

"Even if they do heal, it can take between six and 12 months and patients have

ongoing pain during that time.

"The evidence suggests that ultrasound speeds things up by about 40%, but the

main interest for me is to use it to make sure the bone heals rather than the

bone not 'knitting' together which then leads to serious problems."

The technology is similar to that used on pregnant women.

Ultrasound waves are used at a slightly different frequency and a slightly

different pulse. Research suggests this encourages cells to remove bacteria,

stimulates the production of new bone cells and encourages those cells to

mature more rapidly.

It is expected the cost of using ultrasound to treat fractures will reduce over

time, making it a cheap way to speed up the healing of common fractures as well

as complex ones.