Influence of plate design on cortical bone perfusion and fracture healing in canine segmental tibial fractures

Journal of Orthopaedic Trauma

Volumn 13, Issue 3, 1999, Pages 178-186

  Jain, Rina ^a   Podworny, Nancy ^a   Hupel, Thomas M ^a   Weinberg, Jordan ^a   Schemitsch, Emil H ^a,b  

^a ST MICHAEL'S HOSPITAL   (Canada)

^b NONE   (Canada)

Author keywords

Biomechanics; Bone perfusion; Fracture healing; Plate fixation; Segmental fracture

Indexed keywords

ANIMAL; ARTICLE; BIOMECHANICS; BLOOD FLOW; BLOOD FLOW VELOCITY; BONE DENSITY; BONE PLATE; BONE REGENERATION; COMPARATIVE STUDY; DISEASE MODEL; DOG; EQUIPMENT DESIGN; FRACTURE HEALING; INSTRUMENTATION; LASER DOPPLER FLOWMETRY; METHODOLOGY; OSTEOSYNTHESIS; PATHOLOGY; PATHOPHYSIOLOGY; PHYSIOLOGY; RANDOMIZATION; TIBIA; TIBIA FRACTURE; VASCULARIZATION;

ANIMALS; BIOMECHANICS; BLOOD FLOW VELOCITY; BONE DENSITY; BONE PLATES; DISEASE MODELS, ANIMAL; DOGS; EQUIPMENT DESIGN; FRACTURE FIXATION, INTERNAL; FRACTURE HEALING; LASER-DOPPLER FLOWMETRY; OSSEOINTEGRATION; RANDOM ALLOCATION; REGIONAL BLOOD FLOW; TIBIA; TIBIAL FRACTURES;

EID: 0033087361     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005131-199903000-00005     Document Type: Article

References (25)

1. Barron SE, Robb RA, Taylor WF, et al. The effect of fixation with intramedullary rods and plates on fractures site blood flow and bone remodelling. J Bone Joint Surg 1977;59A:376-385.
2. Gautier E, Cordey J, Mathys R, et al. Porosity and remodelling of plated bone after internal fixation: result of stress shielding or vascular damage? In Biomaterials and Biomechanics 1983, ed by Docheyne P. Van der Perre G. Aubert AB, Amsterdam, Elsevier Science Publishers BV, 1984, pp 195-200.
3. Grandnes O, Reikesràs O, Blood flow and mechanical properties of healing bone. Acta Orthop Scand 1992;63:487-491.
4. Jacobs RR, Rahn BA, Perren SM. Effects of plates on cortical bone perfusion. J Trauma 1981;21:91-95.
5. Jain R, Podworny N, Hearn T, Anderson GI, Schemitsch EH. Effect of stainless steel and titanium low-contact dynamic compression plate application on the vascularity and mechanical propesties of cortical bone after fracture. J Orthop Trauma 1997;11:490-495.
6. Kowalski M, Schemitsch EH, Senft D, Harrington R, Rampoldi E, Swiontkowski M. Comparative evaluation of the effect of plate design on fracture healing with special reference to cortical bone blood flow and biomechanical properties. Trans Orthop Res Soc 1993;39:569.
7. Kowalski M, Schemitsch EH, Kregor PJ, Senft D, Swiontkowski M, Effect of periosteal stripping on cortical bone perfusion: a laser Doppler study in sheep. Calcif Tissue Int 1996;59:24-26.
8. Kregor PJ, Senft D, Parvin D, Campbell C, Toomey S, Parker C, Gillespy T, Swiontkowski M. Cortical bone perfusion in plated fractured sheep tibiae. J Orthop Res 1993;13:715-724.
9. Langård Ø, Bø O. Segmental tibial shaft fractures. Acta Orthop Scand 1976;47:351-357.
10. Lausten GS, Kiser T, Dahl B. Laser Doppler flowmetry for estimation of bone blood flow: studies of reproducibility and correlation with microsphere technique. J Orthop Res 1993;7:61-67.
11. Paradis GR, Kelly PJ. Blood flow and mineral deposition in cartine tibial fractures. J Bone Joint Surg 1975;57A:220-226.
12. Perren SM. The concept of biological plating using the limited contact-dynamic compression plate (LC-DCP). Inquiry 1991;22(Suppl). 1-41.
13. Perren SM, Cordey J. Rahn BA, et al. Early temporary porosis, of bone induced by internal fixation implants: a reaction to necrosis, not to stress protection? Clin Orthop 1988;232:139-151.
14. Perren SM, Klue K, Pohler O, et al. The limited contract dynamic compression plate. Arch Orthop Trauma Surg 1990;109:304-310.
15. Rhinelander FW. Tibial blood supply in relation to fracture healing. Clin Orthop 1974;105:34-81.
16. Richards RR, Schemitseb EH. Effect of muscle flap coverage on bone blood flow following devascularization of a segment of tibia: an experimental investigation in the dog. J Orthop Res 1989;7:550-558.
17. Richards RR, Orsíni EC, Mahoney JL, et al. The influence of muscle flap coverage on the repair of devascularized tibial cortex: an experimental investigation in the dog. Plast Reconstr Surg 1987; 79:946-958.
18. Rommens PM, Coosemans W, Broos PLO. The difficult healing of segmental fractures of the tibial shaft. Arch Orthop Trauma Surg 1989;108:238-242.
19. Smith SR, Brook JT, Kelly PJ. Effect of fracture fixation on cortical bone blood flow. J Orthop Res 1990;8:471-478.
20. Swiontkowski MF, Ganz R, Schlegel U, Perren SM. Laser Doppler flowmetry for clinical evaluation of femoral head osteonecrosis. Clin Orthop 1987;218:181-185.
21. Swiontkowski MF. Criteria for bone debridement in massive lower lamb trauma. Clin Orthop 1989;243:41-47.
22. Utväg SE, Grundnes O, Reikeräs O. Healing of segmental and simple fractures in rats. Acta. Orthop Scand 1994;65:559-563.
23. White AA III, Panjabi MM, Southwick WO. The four biomechanical stages of fracture repair. J Bone Joint Surg 1977;59A:188-192.
24. Woll TS, Dawelius PJ. The segmental tibial fracture Clin Orthop 1992;281:204-207.
25. Zdeblick TA, Shaffer JW, Field GA. The healing of canine vascularized segmental tibial osteotomies: the effect of retained endosteal circulation. Clin Orthop 1988;236:296-302.