Exogen ultrasound bone healing (exogen therapy)

For the treatment of

Long bone fractures with non-union

Commissioning position

This intervention is only commissioned if the following criteria have been met:

  • long bone fracture(s) with failure to heal after 9 months (non-union) AND
  • patient age > 18 years AND 
  • fracture gap is ≤ 1 cm 

It is not commissioned for fractures of long bones with no radiological evidence of healing up to 9 months (delayed healing).

Summary of rationale

Clinical data on the use of EXOGEN for treating long bone fractures with non-union show high rates of fracture healing. The evidence for treatment of long bone fractures with delayed healing is limited and likely to be more costly than alternative management.

EXOGEN is not indicated for use in fractures of the skull or vertebrae, or in children or adolescents because of their skeletal immaturity.

References

MTG12 EXOGEN ultrasound bone healing system for long bone fractures with non-union or delayed healing (NICE)  

Associated Pathways

There are no associated pathways.

Specialties

MSK & Orthopaedics York MSK & Orthopaedics North Yorkshire Musculoskeletal Hull Musculoskeletal East Riding Musculoskeletal North Lincolnshire Musculoskeletal North East Lincolnshire

Places covered by

  • east-riding
  • hull
  • north-east-lincolnshire
  • north-lincolnshire
  • north-yorkshire
  • vale-of-york
Author:
Date created: 12/06/2025, 14:36
Last modified: 15/07/2025, 15:48
Date of review: 31/1/28