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National, prospective, controlled and randomized, open-label, multicenter, non-inferiority study on the benefit of low-dose pulsed ultrasound (LPUS) for the treatment of upper and lower extremity non-union compared to surgical intervention

National, prospective, controlled and randomized, open-label, multicenter, non-inferiority study on the benefit of low-dose pulsed ultrasound (LPUS) for the treatment of upper and lower extremity non-union compared to surgical intervention - PiNGUin

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00034357
Enrollment
370
Registered
2025-03-11
Start date
2025-05-28
Completion date
Unknown
Last updated
2026-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

M84.1

Interventions

Group 1: intervention group: daily treatment with low-intensity pulsed ultrasound for 200 days, at minimum 180 days (compliance 90%) Group 2: control group: surgery of the non-union in accordance with

Sponsors

Universitätsklinikum Essen AöR
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: - non-union of the upper or lower extremity including clavicle - fracture > 6 months and < 24 months - primary osteosynthesis of the fracture - bony defect < 1 cm - closed soft tissue - signed informed consent - health insurance by law

Exclusion criteria

Exclusion criteria: - instability of the non-union - non-union of the spine or the cranium - non-union of the small bones of the hand or the toes - non-union after osteotomy - long spiral fractures - pathological fractures due to maligne tumors or metastases - operation within the last 4 months - infection/osteomyelitis of the non-union, defects of soft tissue - therapy with cytostatic drugs - pacemaker - pregnancy/breast feeding - comorbidity, which influences the compliance - participation in another interventional study

Design outcomes

Primary

MeasureTime frame
fracture healing after 12 months (bony consolidation as well as functional restoration; composite endpoint)

Secondary

MeasureTime frame
- time to fracture healing - time to full weight bearing - intensity of pain - functional complaints, activities of daily living - quality of life - complications - (serious) adverse events - incidence of re-operation - duration of hospital stay - length of inability to work

Countries

Germany

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Jun 29, 2026