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Significance of postoperative stability for bony reparation of comminuted fractures

An experimental study

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Summary

The significance of postoperative mechanical stability to bone repair of comminuted fractures was investigated in an animal experimental study comparing four commonly employed operative methods of fracture stabilization: 1. Plate osteosynthesis combined with lag screw fixation; 2. Bridging plate osteosynthesis; 3. External fixation; 4. Static interlocking intramedullary nailing. As fracture model, a triple wedge osteotomy of the right sheep tibia was used. In regard to biomechanical strength, the method which gave best postoperative stability, plate osteosynthesis in combination with interfragmentary lag screws, did not result in the best bone repair. In this experimental setup, stabilization by bridging methods, inducing bone healing by secondary intention, gave better bone regeneration in the experimental fractures.

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References

  1. Claes L, Burri C, Gerngross H, Mutschler W (1984) Die Beschleunigung der Frakturheilung durch Faktor XIII. Helv Chir Acta 51:209–212

    Google Scholar 

  2. Claes L, Dürselen L, Kiefer H (1987) Interfragmentäre Bewegung und Knochenheilung. Optimierung der elastischen Eigenschaften von Implantaten, temporären und definitiven. Vorträge der 7. Sitzung des DVM, S 69–78

  3. Goodship AE, Kenwright J (1985) The influence of induced micromovement upon the healing of experimental tibial fractures. J Bone Joint Surg [Br] 67:650–655

    Google Scholar 

  4. Grosse A, Beck G, Taglang G (1983) Die Operationstechnik der Verriegelungsnagelung. Hefte Unfallheilkd 161:32–35

    Google Scholar 

  5. Klemm K, Börner M (1982) Die Verriegelungsnagelung bei Oberschenkelschaftbrüchen. Hefte Unfallheilkd 158:122–127

    Google Scholar 

  6. Willenegger H (1975) Verplattung und Marknagelung bei Femur- und Tibiaschaftfrakturen: Pathophysiologische Grundlagen. Chirurg 46:145–151

    Google Scholar 

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Authors and Affiliations

  1. Berufsgenossenschaftliche Unfallklinik, Duisburg-Buchholz

    U. Heitemeyer, G. Hierholzer & M. Körber

  2. Sektion für Unfallchirurgische Forschung und Biomechanik der Unfallchirurgischen, Abteilung der Universität, Ulm

    L. Claes

Authors
  1. U. Heitemeyer
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  2. L. Claes
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  3. G. Hierholzer
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  4. M. Körber
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Additional information

With financial assistance from the Hauptverband der gewerblichen Berufsgenossenschaften Bonn-St. Augustin

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Heitemeyer, U., Claes, L., Hierholzer, G. et al. Significance of postoperative stability for bony reparation of comminuted fractures. Arch Orthop Trauma Surg 109, 144–149 (1990). https://doi.org/10.1007/BF00440575

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  • DOI: https://doi.org/10.1007/BF00440575

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