The guideline “ Low-intensity pulsed ultrasound to promote fracture healing ” is based on the efficacy of low-intensity pulsed ultrasound to promote fracture healing and is adequate to show that this procedure can reduce fracture healing time and gives clinical benefit, particularly in circumstances of delayed healing and fracture non-union. Fractures are a common result of trauma and usually heal within a few weeks after treatment by closed or open reduction and immobilization using a cast or internal fixation. Failure of the fracture to heal resulting in non-union may require complex and prolonged management with implications for the patient's quality of life and functional capacity.

Fractures are described as either closed (skin over the fracture site is intact) or open (involves an open wound). The complexity of open fractures is graded from I (simple transverse or short oblique…