Pathophysiological advantages of rinsing-suction-reaming (RSR) in a pig model for intramedullary nailing

Journal of Orthopaedic Research

Volumn 24, Issue 6, 2006, Pages 1186-1192

  Schult, Marc ^a   Küchle, Raphael ^b   Hofmann, Alexander ^b   Schmidt Bräkling, Tom ^a   Ortmann, Christian ^c   Wassermann, Esther ^d   Schmidhammer, Robert ^d   Redl, Heinz ^d   Joist, Alexander ^a  

^a UNIVERSITY OF MÜNSTER   (Germany)

^b UNIVERSITY MEDICAL CENTER MAINZ   (Germany)

^c JENA UNIVERSITY HOSPITAL   (Germany)

^d LUDWIG BOLTZMANN INSTITUTE FOR LUNG VASCULAR RESEARCH   (Austria)

Author keywords

Intramedullary nailing; Pig model; Rising suction reaming (RSR)

Indexed keywords

ANESTHESIA; ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; ARTICLE; BLOOD CLOTTING; BONE MARROW; CONTROLLED STUDY; FAT EMBOLISM; FRACTURE EXTERNAL FIXATION; HEMATOLOGICAL PARAMETERS; HEMODYNAMIC PARAMETERS; HYPOTHESIS; INTERMETHOD COMPARISON; INTRAMEDULLARY NAIL; INTRAMEDULLARY NAILING; LAVAGE; MONITORING; NONHUMAN; ORTHOPEDIC EQUIPMENT; ORTHOPEDIC SURGERY; PATHOPHYSIOLOGY; POSTOPERATIVE PERIOD; PRESSURE; PRIORITY JOURNAL; SEROLOGY; SUCTION; SWINE;

ANIMALS; BONE MARROW; BONE NAILS; DISEASE MODELS, ANIMAL; EMBOLISM, FAT; EXTERNAL FIXATORS; FEMORAL FRACTURES; FRACTURE FIXATION, INTRAMEDULLARY; HEMODYNAMIC PROCESSES; LUNG; PRESSURE; SWINE;

EID: 33745052670     PISSN: 07360266     EISSN: None     Source Type: Journal    
DOI: 10.1002/jor.20106     Document Type: Article

References (29)

1. Joist A, Schult M, Frerichmann U, et al. 2003. Ein neues Spül-Saug-Bohrsystem ermöglicht die druckarme Markraumbohrung an isolierten Schweinefemora. Unfallchirurg 106:874-880.
2. Joist A, Schult M, Frerichmann U, et al. 2004. Rinsing-suction-reamer attenuates intramedullary pressure increase and fat intravasation in sheep model. J Trauma 57:146-151.
3. Pape HC, Krettek C. 2003. Frakturversorgung des Schwerverletzten - Einfluss des Prinzips der "verletzungsadaptierten Behandlungsstrategie" (damage control orthopaedic surgery). Unfallchirurg 106:87-96.
4. Schlag G, Sommogy S. 1972. Modifikation der "Gurd-Tests" zur Diagnostik der Fettembolie im Blut. Aktuelle Traumatol 7:347-350.
5. Winquist RA, Hansen ST, Clawson DK. 1984. Closed intramedullary nailing of femoral fractures - a report of five hundred and twenty cases. J Bone Joint Surg Am 66: 529-539.
6. Giannoudis P, Smith R, Banks R, et al. 1998. Stimulation of inflammatory markers after blunt trauma. Br J Surg 85: 986-990.
7. Pape HC, Auf'm Kolk M, Paffrath T. 1993. Primary intramedullary femur fixation in multiple trauma patients with associated lung contusion. J Trauma 34:540-548.
8. Wenda K, Ritter G, Degreif J, et al. 1988. Pathogenesis of pulmonary complications following intramedullary nailing osteosyntheses. Unfallchirurg 91:432-435.
9. Giannoudis PV, Smith RM, Bellamy MC, et al. 2000. Immune reaktivity following stabilisation of femoral fractures: a prospective study assessing the release of molecular mediators. Shock Suppl 138-139.
10. Wenda K, Ritter G, Ahlers J. 1990. Bedeutung des Schocks für die Verfahrenswahl bei Oberschenkelfrakturen. Hefte Unfallheilk 212:101.
11. Wozasek GE. 1984. Gefahren der Marknagelung im Schock. Unfallchirurg 238:1.
12. Kröpfl A, Berger U, Neureiter H. 1997. Intramedullary pressure and bone marrow fat intravasation in unreamed femoral nailing. J Trauma 42:946-954.
13. Kröpfl A, Davies J, Berger U, et al. 1999. Intramedullary pressure and bone marrow fat extravasation in reamed and unreamed femoral nailing. J Orthop Res 17:261-268.
14. Neudeck F, Obertacke U, Wozasek G, et al. 1994. Pathophysiologische Konsequenzen verschiedener Osteosyntheseverfahren beim Polytraumatisierten. Aktuelle Traumatol 24:114-120.
15. Nast-Kolb D, Waydhas C, Schweiberer L. 1996. Marknagelung beim Polytrauma. Orthopade 25:266-273.
16. Alonso J, Geissler W, Hughes JL. 1989. External fixation of femoral fractures. Indications and limitations. Clin Orthop 241:83-88.
17. Winkler H, Hochstein P, Pfrengle S, et al. 1998. Change in procedure to reamed intramedullary nail in diaphyseal femoral fractures after stabilization with external fixator. Zentralbl Chir 123:1239-1246.
18. Nowotarski PJ, Turen CH, Brumback RJ, et al. 2000. Conversion of external fixation to intramedullary nailing for fractures of the shaft of the femur in multiple injured patients. J Bone Joint Surg Am 6:781-788.
19. Wu CC, Shih CH. 1991. Treatment of open femoral and tibial shaft fractures preliminary report on external fixation and secondary intramedullary nailing. J Formosan Med 90:1179-1185.
20. Schmidt-Nielson K. 1975. Respiratory in air: mammalian lungs. In: Miller F, editor. Animal Physiology - adaptation and environment. New York: Cambridge University Press; p 36.
21. Nauck ET, Bolck L. 1978. Extremitätenskelett der Tertrapoden. In: Nauck ET, editor. Handbuch der vergleichenden Anatomie. Berlin: Urban & Schwarzenberg; p 183.
22. Mousavi M, David R, Schwendenwein I, et al. 2002. Influence of controlled reaming on fat intravasation after femoral osteotomy in sheep. Clin Orthop 1:263-270.
23. Mousavi M, Kolonja A, Schaden E, et al. 2001. Intracranial pressure - alterations during controlled intramedullary reaming of femoral fractures: an animal study. Injury 32:679-682.
24. Neudeck F, Wozasek G, Obertacke U, et al. 1996. Nailing versus plating in thoracic trauma: an experimental study in sheep. J Trauma 40:980-984.
25. Pape HC, Dwenger A, Regel G, et al. 1995. Intramedullary femoral nailing in sheep. Eur J Surg 161:163-171.
26. Wozasek GE, Thurnher M, Redl H, et al. 1994. Pulmonary reaction during intramedullary fracture management in traumatic shock: an experimental study. J Trauma 37: 249-254.
27. Buttaro M, Mocetti E, Alfie V, et al. 2002, Fat embolism and related effects during reamed and unreamed intramedullary nailing in a pig model. J Orthop Trauma 16:239-244.
28. Rautanen M, Gullichsen E, Kuttila K, et al. 1996. Effects of experimental fat embolism on central hemodynamics and oxygenation in pigs. Eur Surg Res 28:227-234.
29. Rautanen M, Gullichsen E, Riutta A, et al. 1997. Experimental fat embolism induces urine 2,3-dinor-6-ketoprostaglandin F1alpha and 11-dehydrothromboxane B2 excretion in pigs. Crit Care Med 25:1215-1221.