Summary
Plates used for fracture fixation produce vascular injury to the underlying cortical bone. During the recovery of the blood supply, temporary osteoporosis is observed as a result of Haversian remodeling of the necrotic bone. This process temporarily reduces the strength of the bone. We tackled the postulate that quantitative differences exist between animal species, and in different bones within the same species, due to variations in the relative importance of the endosteal and periosteal blood supplies. Using implants scaled to the size of the bone, we found comparable cortical vascular damage in the sheep and in the dog, and in the tibia and femur of each animal. We observed a significant reduction in cortical vascular damage using plates that had a smaller contact area with the underlying bone. No significant difference in cortical vascular damage was noted in animals of different ages.
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References
Brookes M (1971) The blood supply of bone. An approach to bone biology. Butterworth, London
Cordey J (1987) Analyse méchanique de l'ostéosynthèse par plaque. DSc thesis, Lausanne
Cordey J, Perren SM (1984) Stress protection in femora plated by carbon fiber and metallic plates, mathematical analysis and experimental verification. In: Cucheyne P, Perre G van der, Aubert A (eds) Advance in biomaterials, vol 5. Elsevier, Amsterdam, pp 189–194
Eitel F, Klapp F, Jacobson W, Schweiberer L (1981) Bone regeneration in animals and in man. A contribution to understanding the relative value of animal experiments to human pathophysiology. Arch Orthop Trauma Surg 99:59–64
Gautier E, Cordey J, Lüthi U, Mathys R, Rahn BA, Perren SM (1983) Knochenumbau nach Verplattung: Biologische oder mechanische Ursache? Helv Chir Acta 50:53–58
Göz G, Heinrichsbauer C, Rahn BA (1990) Paradontale Zirkulationsveränderungen unter Zahnbelastung. Acta Med Austriaca [Suppl] 40:36
Gunst MA, Suter C, Rahn BA (1979) Die Knochendurchblutung nach Plattenosteosynthese. Eine Untersuchung an der intakten Kaninchentibia mit Disulfinblau-Vitalfärbung. Helv Chir Acta 46:171–175
Jörger KA (1987) Akute intrakortikale Durchblutungsstörung unter Osteosyntheseplatten mit unterschiedlichen Auflageflächen. Med vet thesis, Berne
Leu D, Bilat C, Rüedi T (1989) Refrakturen nach Metallentfernung. Eine Nachkontrolle von operierten Tibia-Schaftfrakturen. Unfallchirurg 92:399–400
Matter P, Brennwald J, Perren SM (1974) Biologische Reaktion des Knochens auf Osteosyntheseplatten. Helv Chir Acta [Suppl] 12
Moyen BJ, Lahey PJ, Weinberg EH, Harris WH (1978) Effects on intact femora of dog of the application and removal of metal plates. J Bone Joint Surg [Am] 60:940–947
Perren SM, Russenberger M, Steinemann S, Müller ME, Allgöwer M (1969) A dynamic compression plate. Acta Orthop Scand 125[Suppl]:29–41
Rhinelander FW (1974) Tibial blood supply in relation to fracture healing. Clin Orthop 105:34–81
Richon A, Livio JJ, Saegesser F (1967) Les refractures après ostéosynthèse par plaque à compression. Helv Chir Acta 34:49–62
Rüedi T, Kolbow H, Allgöwer M (1973) Erfahrung mit der dynamischen Kompressionsplatte (DCP) bei 418 frischen Unterschenkelschaftbrüchen. Acta Orthop Unfall Chir 82:247–256
Schenk R (1978) Histomorphologische und physiologische Grundlagen des Skelettwachstums. In: Weber BG, Brunner Ch, Freuler F (eds) Die Frakturbehandlung bei Kindern und Jugendlichen. Springer, Berlin Heidelberg New York, pp 3–20
Uhthoff HK, Dubuc FL (1971) Bone structure changes in the dog under rigid internal fixation. Clin Orthop 81:165–170
Vattolo M (1986) Der Einfluß von Rillen in Osteosyntheseplatten auf den Umbau der Kortikalis. Med vet thesis, Berne
Woo SL-Y, Akeson WH, Coutts RD, Rutherford L, Doty D, Jemmott GP, Amiel D (1976) A comparison of cortical bone atrophy secondary to fixation with plates with large difference in bending stiffness. J Bone Surg [Am] 58:190–195
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Lippuner, K., Vogel, R., Tepic, S. et al. Effect of animal species and age on plate-induced vascular damage in cortical bone. Arch Orthop Trauma Surg 111, 78–84 (1992). https://doi.org/10.1007/BF00443472
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DOI: https://doi.org/10.1007/BF00443472