Evaluation of strength of healing fractures with dual energy Xray absorptiometry.

Abstract:

:Dual energy xray absorptiometry was investigated as a method for evaluation of the strength of closed tibial fractures. In 40 goats, a closed midshaft fracture was created in the left tibia. The fractures were stabilized with an external fixator. After 2 weeks (n = 21) and after 4 weeks (n = 19), both tibias were explanted and, using dual energy xray absorptiometry, bone mineral density and bone mineral content were measured in a 1 cm region. With nondestructive bending tests, area ratio and stiffness index were determined and torsional strength and torsional stiffness were determined with a torsional test to failure. Linear regression analysis was used to calculate the squared correlation coefficients for the relations between dual energy xray absorptiometry and the outcome of the mechanical tests. The squared correlation coefficients for the relation between bone mineral density and torsional strength, torsional stiffness, and area ratio and stiffness index were 0.72, 0.76, 0.64, and 0.72, respectively. The squared correlation coefficients for the relation between bone mineral content and these mechanical parameters were 0.72, 0.77, 0.63, and 0.77, respectively. The results using dual energy xray absorptiometry indicate the strength of healing closed fractures. Additional research is required to investigate specific aspects of this technique.

journal_name

Clin Orthop Relat Res

authors

Blokhuis TJ,den Boer FC,Bramer JA,van Lingen A,Roos JC,Bakker FC,Patka P,Haarman HJ

doi

10.1097/00003086-200011000-00035

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

260-8

issue

380

eissn

0009-921X

issn

1528-1132

pub_type

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