Intramedullary Canal Pressure Distribution. An Experimental Parametric Study

Journal of Arthroplasty

Volumn 22, Issue 3, 2007, Pages 417-427

  Dobrjanski, Daniel ^a   Saghir, Ziad ^a   Behdinan, Kamran ^a   Zalzal, Paul ^b   de Beer, Justin ^c   Papini, Marcello ^a  

^a RYERSON UNIVERSITY   (Canada)

^b Oakville Trafalgar Memorial Hospital   (Canada)

^c HAMILTON HEALTH SCIENCES   (Canada)

Author keywords

bone analogue; fat embolism syndrome; femur; intramedullary pressure; total hip arthroplasty; total knee arthroplasty

Indexed keywords

ARTICLE; BONE MARROW; CORTICAL BONE; FEMUR; GEOMETRY; IMPLANT; JOINT PRESSURE; SIMULATION; VISCOSITY;

BONE SUBSTITUTES; HUMANS; MATERIALS TESTING; POROSITY; PRESSURE; PROSTHESES AND IMPLANTS; PROSTHESIS DESIGN; VISCOSITY;

EID: 33947580820     PISSN: 08835403     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.arth.2006.04.019     Document Type: Article

References (25)

1. Gurd A.R. Fat embolism: an aid to diagnosis. J Bone Joint Surg Br 52B (1970) 732
2. Hofmann S., Hopf R., Mayr G., et al. In vivo femoral intramedullary pressure during uncemented hip arthroplasty. Clin Orthop Relat Res 360 (1999) 136
3. Peltier L.F. Fat embolism: a current concept. Clin Orthop Relat Res 66 (1969) 241
4. Kropfl A., Davis J., Berger U., et al. Intramedullary pressure and bone marrow fat extravasation in reamed and unreamed femoral nailings. J Orthop Res 17 (1999) 261
5. Woo R., Minster G.J., Fitzgerald R.H., et al. Pulmonary fat embolism in revision hip arthroplasty. Clin Orthop Relat Res 319 (1995) 41
6. Wenda K., Runkel M., Degreif J., et al. Pathogenesis and clinical relevance of bone marrow embolism in medullary nailing demonstrated by intraoperative echocardiography. Injury 24 (1993) S73
7. Hopf T., Gleitz M., and Hess T. Intramedullary pressure in the femur during boring and nailing with modern compression interlocking nails: a risk of fat embolism?. Unfallchirurg 97 (1994) 458
8. Muller C., McIff T., Rahn B.A., et al. Intramedullary pressure, strain on the diaphysis and increase in cortical temperature when reaming the femoral medullary cavity. Injury 24 (1993) 22
9. Muller C., McIff T., Rahn B.A., et al. Influence of the compression force on the intramedullary pressure development in reaming of the femoral medullary cavity. Injury 24 (1993) 36
10. Kropfl A., Berger U., Neureiter H., et al. Intramedullary pressure and bone marrow fat intravasation in unreamed femoral nailing. J Trauma 42 (1997) 946
11. Heim D., Chlegel U., and Perren S.M. Intramedullary pressure in reamed and unreamed nailing of the femur and tibia. Injury 24 (1994) 56
12. Frolke J.M., Bakker F.C., Patka P., et al. Intramedullary pressure in reamed femoral nailing with two different reamer designs. Eur J Trauma (2001) 235
13. Papagelopoulos P., Apostolou C.D., Karachalios T.S., et al. Pulmonary fat embolism after total hip and total knee arthroplasty. Orthopedics 26 (2003) 523
14. Muller C., Frigg R., and Pfister U. Effect of flexible drive diameter and reamed design on the increase of pressure in the medullary cavity during reaming. Injury 24 (1993) 40
15. Johnson J.A., Berkshire A., Leighton R.K., et al. Some basic biomechanical characteristics of medullary pressure generation during reaming of the femur. Injury 26 (1995) 451
16. Pell A.C., Christine J., Keating J.F., et al. The detection of fat embolism by transoesophageal echocardiography during reamed intramedullary nailings: a study of 24 patients with femoral and tibial fractures. J Bone Joint Surg Br 75B (1993) 921
17. Hartford J.M., Hester P., Watt P.M., et al. Biomechanical superiority of plate fixation for proximal tibial osteotomy. Clin Orthop Relat Res 412 (2003) 125
18. Mousavi M., David R., Ehteshami J., et al. Pressure changes during reaming with different parameters and reamer designs. Clin Orthop Relat Res 373 (2000) 295
19. Dobrjanski D. Experimental Parametric Study of the Factors Leading to Elevated Femoral Intramedullary Pressure and Fat Embolus Syndrome in Orthopaedic Procedures, MASc Thesis, Ryerson University, 2005.
20. Wang X., and Qingwen N. Determination of cortical bone porosity and pore size distribution using a low field pulsed NMR approach. J Orthop Res 21 (2003) 312
21. Le Huec J.C., Schaeverbeke T., Clement D., et al. Influence of porosity on the mechanical resistance of hydroxyapatite ceramics under compressive stress. Biomaterials 18 (1995) 113
22. An Y.H. Mechanical properties of bone. In: An Y.H., and Draughn R.A. (Eds). Mechanical testing of bone and the bone-implant interface (2000), CRC Press, Boca Raton (Fla) 42
23. Dobrjanski D., Gaber O., Saghir Z., et al. The pressure generated during the insertion of an intramedullary device: experiments and numerical modeling. Biomedicine 2005 Conference, Bologna, Italy (2005)
24. Bryant J.D., David T., Gaskell P.H., et al. Rheology of bovine bone marrow. Proc Inst Mech Eng [H] 203 (1989) 71
25. Pilkey W.D. Peterson's stress concentration factors. 2nd ed. (1997), John Wiley and Sons Inc, New York (NY) 440