The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Influence of size and stability of the osteotomy gap on the success of fracture healing
Abstract
Flexible fixation of fractures with minimally invasive surgical techniques has become increasingly popular. Such techniques can lead to relatively large fracture gaps (larger than 5 mm) and considerable interfragmentary movements (0.2‐5 mm). We investigated the influence of the size of the fracture gap, interfragmentary movement, and interfragmentary strain on the quality of fracture healing. A simple diaphyseal long‐bone fracture was modeled by means of a transverse osteotomy of the right metatarsus in sheep. In 42 Sheep, the metatarsus was stabilized with a custom‐made external ring fixator that was adjustable for gap size and axial interfragmentary movement. The sheep were randomly divided into six groups with three different gap sizes (1, 2, or 6 mm) and small or large interfragmentary strain (approximately 7 or 31%). The movement of the fracture gap was monitored telemetrically by a displacement transducer attached to the fixator. After 9 weeks of healing, the explanted metatarsus was evaluated mechanically in a three‐point bending test to determine bending, stiffness and was radiographed to measure the amount of periosteal callus formation. Increased size of the gap (from 1 to 6 mm) resulted in a significant reduction in the bending stiffness of the healed bones. Larger interfragmentary movements and strains (31 compared with 7%) stimulated larger callus formation for small gaps (1‐2 mm) but not for larger gaps (approximately 6 mm). The treatment of simple diaphyseal fractures with flexible fixation can be improved by careful reduction of the fracture; this prevents large interfragmentary gaps. The experimental fracture model for the metatarsus showed that the healing process was inferior when the gap was larger than 2 mm.
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Citations
Cites
The biology of fracture healing in long bones
McKibbin, B. (1978) · The Journal of Bone and Joint Surgery. British volume · doi:10.1302/0301-620x.60b2.350882 · Cited by 1,180
Controlled mechanical stimulation in the treatment of tibial fractures
KENWRIGHT, J., & GOODSHIP, A. E. (1989) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-198904000-00006 · Cited by 373
Current concepts of internal fixation of fractures
Tubbs, N. (1981) · Injury · doi:10.1016/0020-1383(81)90078-4 · Cited by 326
Effect of dynamization on gap healing of diaphyseal fractures under external fixation
Claes, L., Wilke, H.-J., Augat, P., Rübenacker, S., & Margevicius, K. (1995) · Clinical Biomechanics · doi:10.1016/0268-0033(95)99799-8 · Cited by 237
Self-citationWu, J. J., Shyr, H. S., Chao, E. Y. S., & Kelly, P. J. (1984) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-198466080-00015 · Cited by 195
Early, Full Weightbearing With Flexible Fixation Delays Fracture Healing
Augat, P., Merk, J., Ignatius, A. A., Margevicius, K. J., Bauer, G. J., Rosenbaum, D., & Claes, L. (1996) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-199607000-00031 · Cited by 142
Self-citationEFFECTS OF AXIAL DYNAMIZATION ON BONE HEALING
Egger, E. L., Gottsauner‐Wolf, F., Palmer, J., Aro, H. T., & Chao, E. Y. S. (1993) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/00005373-199302000-00001 · Cited by 130
Tibial external fixation, weight bearing, and fracture movement
KERSHAW, C. J., CUNNINGHAM, J. L., & KENWRIGHT, J. (1993) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-199308000-00005 · Cited by 124
Quantitative Assessment of Experimental Fracture Repair by Peripheral Computed Tomography
Augat, P., Merk, J., Genant, H. K., & Claes, L. (1997) · Calcified Tissue International · doi:10.1007/s002239900213 · Cited by 121
Self-citationCyclical micromovement and fracture healing
Noordeen, M. H. H., Lavy, C., Shergill, N., Tuite, J., & Jackson, A. M. (1995) · Journal of Bone and Joint Surgery - British Volume · doi:10.1302/0301-620x.77b4.7615614 · Cited by 85
Cited by
Angiogenesis in Fracture Repair
Glowacki, J. (1998) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-199810001-00010 · Cited by 386
Glatt, V., Evans, C. H., & Tetsworth, K. (2017) · Frontiers in Physiology · doi:10.3389/fphys.2016.00678 · Cited by 194
The influence of osteoporosis in femoral fracture healing time
Nikolaou, V. S., Efstathopoulos, N., Kontakis, G., Kanakaris, N. K., & Giannoudis, P. V. (2009) · Injury · doi:10.1016/j.injury.2008.10.035 · Cited by 185
Claes, L., Blakytny, R., Besse, J., Bausewein, C., Ignatius, A., & Willie, B. (2011) · Journal of Orthopaedic Trauma · doi:10.1097/bot.0b013e3181e3d994 · Cited by 75
Self-citationModulation of fixation stiffness from flexible to stiff in a rat model of bone healing
Bartnikowski, N., Claes, L. E., Koval, L., Glatt, V., Bindl, R., Steck, R., Ignatius, A., Schuetz, M. A., & Epari, D. R. (2017) · Acta Orthopaedica · doi:10.1080/17453674.2016.1256940 · Cited by 60
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Metadata
- Authors
- Claes, L., Augat, P., Suger, G., & Wilke, H.
- Venue
- Journal of Orthopaedic Research
- Publisher
- Wiley
- Published
- 1997-07
- Volume
- 15
- Issue
- 4
- Pages
- 577-584
- ISSN
- 0736-0266 (ISSN-L)
- 1554-527X
- OpenAlex
- W2031948569
- Cited by
- 549
- References
- 11
- FWCI
- 5.56
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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