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Fracture Healing: Compression vs Fixation

Fracture Healing: Compression vs Fixation Abstract In a fracture healing experiment using rabbit tibiae, apparatus was used to produce a constant measured compression at the site of surgically produced fractures. The apparatus did not hold the fracture rigidly immobilized, but permitted a degree of motion. Under these conditions, compression itself was not a uniformly beneficial factor in fracture healing. In excess, compression acted adversely on the healing process, resulting in slower healing and a bulkier, less mature callus. Excess compression was also related to an adverse response in the diaphysis manifested by resorption of bone along Haversian canals with resultant diminution of structural substance of the cortex. References 1. Friedenberg ZB, French G: The effects of known compression forces on fracture healing . Surg Gynecol Obstet 94:743-748, 1952. 2. Eggers GWN, Shindler TO, Pomerat CM: The influence of the contact-compression factor on osteogenesis in surgical fractures . J Bone Joint Surg 31-A:693-716, 1949. 3. Danckwardt-Lilliestrom G: Reaming of the medullary cavity and its effect on diaphyseal bone . Acta Orthop Scand , (suppl 128) , pp 1-159, 1969. 4. Olerud S, Danckwardt-Lilliestrom G: Fracture healing in compression osteosynthesis in the dog . J Bone Joint Surg 50-B:844-851, 1968. 5. Zadek RE, Robinson RA: The healing of an osteal-periosteal discontinuity of standard length in skeletally mature and immature canine radii , in The Healing of Osseous Tissue . National Academy of Sciences-National Research Council, 1967, pp 9-22. 6. Yamagishi M, Yoshimura Y: The biomechanics of fracture healing . J Bone Joint Surg 37-A: 1035-1068, 1955. 7. Charnley J: Compression Arthrodesis . Edinburgh, E & S Livingstone Ltd, 1953. 8. Bagby GW, James JM: The effect of compression on the rate of fracture healing using a special plate . Am J Surg 9-S:761-771, 1958.Crossref 9. Mindell ER, Rodbard S, Kwasman BG: Chondrogenesis in bone repair . Clin Orthop 79:187-196, 1971.Crossref 10. Muller ME, Allgower M, Willenegger H: Technique of Internal Fixation of Fractures . Berlin, Springer-Verlag, 1965. 11. Anderson LD: Compression plate fixation and the effect of different types of internal fixation on fracture healing . J Bone Joint Surg 47-A:191-208, 1965. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Fracture Healing: Compression vs Fixation

Archives of Surgery , Volume 108 (5) – May 1, 1974

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1974.01350290062010
Publisher site
See Article on Publisher Site

Abstract

Abstract In a fracture healing experiment using rabbit tibiae, apparatus was used to produce a constant measured compression at the site of surgically produced fractures. The apparatus did not hold the fracture rigidly immobilized, but permitted a degree of motion. Under these conditions, compression itself was not a uniformly beneficial factor in fracture healing. In excess, compression acted adversely on the healing process, resulting in slower healing and a bulkier, less mature callus. Excess compression was also related to an adverse response in the diaphysis manifested by resorption of bone along Haversian canals with resultant diminution of structural substance of the cortex. References 1. Friedenberg ZB, French G: The effects of known compression forces on fracture healing . Surg Gynecol Obstet 94:743-748, 1952. 2. Eggers GWN, Shindler TO, Pomerat CM: The influence of the contact-compression factor on osteogenesis in surgical fractures . J Bone Joint Surg 31-A:693-716, 1949. 3. Danckwardt-Lilliestrom G: Reaming of the medullary cavity and its effect on diaphyseal bone . Acta Orthop Scand , (suppl 128) , pp 1-159, 1969. 4. Olerud S, Danckwardt-Lilliestrom G: Fracture healing in compression osteosynthesis in the dog . J Bone Joint Surg 50-B:844-851, 1968. 5. Zadek RE, Robinson RA: The healing of an osteal-periosteal discontinuity of standard length in skeletally mature and immature canine radii , in The Healing of Osseous Tissue . National Academy of Sciences-National Research Council, 1967, pp 9-22. 6. Yamagishi M, Yoshimura Y: The biomechanics of fracture healing . J Bone Joint Surg 37-A: 1035-1068, 1955. 7. Charnley J: Compression Arthrodesis . Edinburgh, E & S Livingstone Ltd, 1953. 8. Bagby GW, James JM: The effect of compression on the rate of fracture healing using a special plate . Am J Surg 9-S:761-771, 1958.Crossref 9. Mindell ER, Rodbard S, Kwasman BG: Chondrogenesis in bone repair . Clin Orthop 79:187-196, 1971.Crossref 10. Muller ME, Allgower M, Willenegger H: Technique of Internal Fixation of Fractures . Berlin, Springer-Verlag, 1965. 11. Anderson LD: Compression plate fixation and the effect of different types of internal fixation on fracture healing . J Bone Joint Surg 47-A:191-208, 1965.

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1974

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