Augmentation of bone healing by specific frequency and amplitude compressive strains.

Abstract:

:A considerable proportion of bone fractures show signs of delayed or impaired healing. A novel device that applies interfragmentary compressive forces to the fracture site was developed and evaluated for its effect on fracture healing. The midshafts of the right tibias of 16 rabbits were osteotomized, leaving a 2-mm gap. A 4-pin, double-bar external fixator was fixed to the tibias. Interfragmental compressive displacement of 0.5 mm with a frequency of 1 Hz was applied 15 minutes per day. Mechanical stimulation began 1 week postoperatively and continued for 2 and 3 weeks. Control animals received no stimulation. Callus quality and area were assessed by radiographs. Maximum force and total energy absorbed up to failure of the healed bones were determined using a standard 3-point bending test. Postmortem radiographic examinations showed that mean radiographic measures in both anteroposterior and mediolateral views was significantly larger in experimental groups than controls (P=.029). Mechanical measures of the healed bones demonstrated that mean values of maximum force and absorbed energy were significantly higher in the experimental groups than in the control groups (P=.029). Both radiographic and mechanical measures were significantly higher after 3 weeks compared to 2 weeks of receiving stimulation (P<.05).

journal_name

Orthopedics

journal_title

Orthopedics

authors

Shadmehr A,Esteki A,Oliaie GR,Torkaman G,Sabbaghian A

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

173

issue

3

eissn

0147-7447

issn

1938-2367

pii

orthopedics.37206

journal_volume

32

pub_type

杂志文章
  • Capitated reimbursement for medical services returns control of the patient to the surgeon.

    abstract::Limiting the spending on healthcare services is a societal necessity, whether externally budget-driven with reduced fee for service or salary, or internally controlled through prospective payment capitation. No reimbursement system is inherently good or bad. Ethical physicians will place patient well-being first and f...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Schmalzried TP,Luck JV Jr

    更新日期:1998-06-01 00:00:00

  • Biomechanical verification that PCL reconstruction is unnecessary in the muscle-stabilized knee.

    abstract::Treatment of isolated posterior cruciate ligament (PCL) injuries is controversial. This is due in part to the discrepancy between clinical and biomechanical studies in the literature. Clinically, isolated PCL injuries are treated nonoperatively, and patients do well as long as they have adequate quadriceps function. B...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100329-12

    authors: Sohn DH,Balasubramanian S,Demetropoulos C,Yang K,Guettler J,Jurist KA

    更新日期:2010-05-12 00:00:00

  • Use of the F-Tool for the removal of a bent intramedullary femoral nail with a sagittal plane deformity.

    abstract::Locked intramedullary nailing is the current standard of treatment for femoral shaft fractures and has low complication rates. Bent femoral intramedullary nails resulting from secondary trauma are rare and technically challenging. This article describes a case of a 36-year-old man who presented with a bent femoral int...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120222-32

    authors: Heffernan MJ,Leclair W,Li X

    更新日期:2012-03-07 00:00:00

  • A comparison of plate and pin fixation for arthrodesis of the rheumatoid wrist.

    abstract::This retrospective study compared plate fixation versus pin fixation in 57 patients with rheumatoid arthritis who underwent wrist arthrodesis. Fixation was achieved by using plates in 32 patients and longitudinal pins in 25 patients. Clinical follow-up averaged 29 months (range: 12-57 months) and radiographic follow-u...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Rehak DC,Kasper P,Baratz ME,Hagberg WC,McClain E,Imbriglia JE

    更新日期:2000-01-01 00:00:00

  • The Chiari osteotomy in the older child with congenital hip subluxation and acetabular dysplasia.

    abstract::Six adolescent patients with acetabular dysplasia and femoral head subluxation were treated with Chiari osteotomy. The average age of the children was 14 years. The prior duration of the subluxation and dysplasia had resulted in mutual remodeling adaptations preventing concentric femoral head restoration. The Chiari o...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Katz JF

    更新日期:1978-03-01 00:00:00

  • Medical treatment of osteonecrosis of the knee associated with thrombophilia-hypofibrinolysis.

    abstract::In 6 patients with stage II knee osteonecrosis, all 6 with thrombophilia and 4 with concurrent hypofibrinolysis, the authors prospectively determined whether anticoagulation with enoxaparin could prevent collapse and progression to osteoarthritis, ameliorate pain, and restore function. The 6 patients were treated with...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140924-59

    authors: Glueck CJ,Freiberg RA,Wang P

    更新日期:2014-10-01 00:00:00

  • Clinical evaluation of rhBMP-2/ACS in orthopedic trauma: a progress report.

    abstract::Recombinant human bone morphogenetic protein-2 (rhBMP-2) is an osteoinductive protein that plays a pivotal role in bone growth and regeneration. Studies conducted in many mammalian species and, most recently, human clinical studies, have provided definitive evidence of the ability of rhBMP-2 to induce bone. The findin...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Riedel GE,Valentin-Opran A

    更新日期:1999-07-01 00:00:00

  • Upper-extremity thrombosis in a patient after biceps tenodesis.

    abstract::Deep venous thrombosis (DVT) of the upper extremity is uncommon compared with DVT of the lower extremity. Exertional DVT has been described in some athletes, especially in the dominant arm of baseball players. It is important for health care professionals to recognize the signs and symptoms of upper-extremity DVT, whi...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20141124-92

    authors: Offoha RU,Garzon-Muvdi J,Streiff MB,McFarland EG

    更新日期:2014-12-01 00:00:00

  • Asymptomatic spinal canal migration of clavicular K-wire at the cervicothoracic junction.

    abstract::Unstable clavicular fractures can be treated surgically with pins and wires or with plates. The migration of metallic devices such as Kirschner wires (K-wires) from the shoulder to a variety of anatomical proximal and distal locations is well documented. Spinal migration, however, is rare and is normally associated wi...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20081201-03

    authors: Bennis S,Scarone P,Lepeintre JF,Puyo P,Aldea S,Gaillard S

    更新日期:2008-12-01 00:00:00

  • The Role of High School Football Coverage in Resident Education.

    abstract::Athletic team coverage experience varies widely across orthopedic surgery residency programs in the United States. There is a paucity of literature regarding whether serving as a team physician contributes to resident education and whether it can be performed within the bounds of current work-hour restrictions. Reside...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20200827-08

    authors: Salzler MJ,Stoker GE,Lunardini DJ,Harner CD

    更新日期:2020-11-01 00:00:00

  • Direct Visualization of the Femoral Cortical Button in Anterior Cruciate Ligament Reconstruction Helps Ensure Proper Positioning.

    abstract::This study sought to postoperatively compare femoral cortical button (FCB) placement in anterior cruciate ligament (ACL) reconstruction performed using an adjustable loop cortical femoral fixation button under direct arthroscopic visualization vs indirect methods. The authors conducted a retrospective review of postop...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20200129-03

    authors: Doss W,Osborn N,McCormack R,Ruotolo C

    更新日期:2020-05-01 00:00:00

  • Diagnosis and Management Strategies for Distal Biceps Rupture.

    abstract::Rupture of the distal biceps tendon most commonly is secondary to mechanical overload during eccentric muscle contraction. Due to deficits of strength and endurance, surgical repair usually is recommended. Although both single- and double-incision approaches have been described, double-incision techniques have been sh...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20190723-05

    authors: Holt J,Preston G,Heindel K,Preston H,Hill G

    更新日期:2019-11-01 00:00:00

  • Early clinical results of the TTAP acetabular cup.

    abstract::One hundred seventy-five threaded titanium alloy prostheses (TTAP) acetabular cups and 125 cemented cups were evaluated clinically and radiographically at 1 to 3 years postoperatively. The series was statistically different in that there were more women in the cemented group than in the non-cemented group (P less than...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Keating EM,Ritter MA,Faris PM,Czarkowski RA

    更新日期:1989-09-01 00:00:00

  • Rotational alignment of the tibial component in total knee arthroplasty.

    abstract::This study compares two different methods of aligning the tibial component in a total knee arthroplasty, one by aligning the component with the border between the medial one third and lateral two thirds of the tibial tubercle and the other by allowing the component to seek its own position as the knee is taken through...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Bindelglass DF

    更新日期:2001-11-01 00:00:00

  • Patient experience with mupirocin or povidone-iodine nasal decolonization.

    abstract::Led by the federal government, the payers of health care are enacting policies designed to base provider reimbursement on the quality of care they render. This study evaluated and compared patient experiences and satisfaction with nasal decolonization with either nasal povidone-iodine (PI) or nasal mupirocin ointment ...

    journal_title:Orthopedics

    pub_type: 杂志文章,随机对照试验

    doi:10.3928/01477447-20140528-59

    authors: Maslow J,Hutzler L,Cuff G,Rosenberg A,Phillips M,Bosco J

    更新日期:2014-06-01 00:00:00

  • A clinicoradiologic study of the Birmingham Mid-Head Resection device.

    abstract::This is a 1.2- to 5.3-year survival and clinicoradiologic study of patients with the Birmingham Mid-Head Resection (BMHR) device (Smith & Nephew Orthopaedics, Warwick, United Kingdom). Sixty consecutive hips implanted with this device between 2003 and 2007 were reviewed with hip outcome questionnaires, clinical examin...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章

    doi:

    authors: Daniel J,Pradhan C,Ziaee H,McMinn DJ

    更新日期:2008-12-01 00:00:00

  • Arthroscopically assisted conversion of total shoulder arthroplasty to hemiarthroplasty with glenoid bone grafting.

    abstract::Aseptic loosening of the glenoid component after total shoulder arthroplasty presents a considerable treatment challenge in the setting of substantial glenoid bone loss. Glenoid component explantation and bone grafting of defects have become common methods of recreating bone stock in hopes of preventing later fracture...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110922-19

    authors: Namdari S,Glaser D

    更新日期:2011-11-01 00:00:00

  • The mechanical effects of suture anchor insertion angle for rotator cuff repair.

    abstract::Twelve matched pairs of humerii were instrumented with suture anchor at 90 degrees, 75 degrees, 45 degrees, and 30 degrees relative to the cortical border at the junction of the greater tuberosity and articular surface. Two fixtures were inserted into each specimen at different angles and loaded to failure. Suture anc...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Liporace FA,Bono CM,Caruso SA,Weiner B,Penny K,Feldman AJ,Grossman MG,Haher TR

    更新日期:2002-04-01 00:00:00

  • Quadriceps dislocation medial approach for intraarticular and medial structures of the knee.

    abstract::To minimize possible complications such as patellar subluxation, quadriceps atrophy and skin tightness and slough which interfere with successful rehabilitation following knee surgery, the author employed a quadriceps dislocation medial approach for total knee arthroplasty and ligament (medial and both cruciates) surg...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Kim JM

    更新日期:1991-10-01 00:00:00

  • Effect of olecranon resection on joint stability and strain of the medial ulnar collateral ligament.

    abstract::This study aimed to assess the effect of posteromedial olecranon resection on the stability of the elbow joint, forearm kinematics, and strain in the anterior bundle of the medial ulnar collateral ligament. Seven elbows were tested after resecting all soft tissues except the capsuloligamentous structures. Varus-valgus...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Lee YS,Alcid JG,McGarry MH,ElAttrache NS,Lee TQ

    更新日期:2008-07-01 00:00:00

  • Treatment of acquired muscle spasticity using phenol peripheral nerve blocks.

    abstract::The use of phenol motor nerve blocks is advantageous in the early period of acquired spasticity (ie, that occurring following traumatic brain injury or incomplete spinal cord injury), when increased muscle tone is often the most severe. Because acquired spasticity is dynamic and usually improves slowly, a temporary tr...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Botte MJ,Abrams RA,Bodine-Fowler SC

    更新日期:1995-02-01 00:00:00

  • Avoiding and managing complications of the Agility Total Ankle Replacement system.

    abstract::Intermediate clinical and radiographic results of the new generation of total ankle arthroplasties have been encouraging. Many of the devastating problems of earlier designs have been avoided, yet these newer implants are not without complications. Many problems can be avoided with careful preoperative planning and by...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20061001-03

    authors: Raikin SM,Myerson MS

    更新日期:2006-10-01 00:00:00

  • Atraumatic avulsion of the distal iliopsoas tendon: an unusual cause of hip pain.

    abstract::While uncommon, isolated avulsion fractures of the lesser trochanter occur in children and adolescents prior to the fusion of this apophysis as a result of athletic activities. In the elderly, isolated fractures of the lesser trochanter are rare but can occur as a result of trauma. They have been identified in patient...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100625-25

    authors: DePasse JM,Varner K,Cosculluela P,Incavo S

    更新日期:2010-08-11 00:00:00

  • Esophageal obstruction secondary to diffuse idiopathic skeletal hyperostosis.

    abstract::Diffuse idiopathic skeletal hyperostosis is a disorder of skeletal tissues which most commonly effects elderly white males. Characteristic radiographic findings involve the production of large juxtacortical osteophytes in the absence of degenerative joint changes. The thoracic spine is the most frequently involved por...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Burkus JK

    更新日期:1988-05-01 00:00:00

  • Combined limited internal fixation with circular frame external fixation of intra-articular tibial fractures.

    abstract::High-energy intra-articular fractures of the tibial plateau and plafond cause ongoing management problems for the orthopedic surgeon. This study retrospectively evaluated 37 such fractures treated with limited internal fixation and circular frame external fixators. Seventeen plateau fractures (5 open) and 20 plafond f...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Raikin S,Froimson MI

    更新日期:1999-11-01 00:00:00

  • Electromyographic Analysis of Grip.

    abstract::This prospective cohort study used video electromyography synchronized analysis to determine the dynamic use of extrinsic and intrinsic finger flexion during grasp. Light fist formation primarily involved the flexor digitorum profundus with either the flexor digitorum superficialis or intrinsics. In contrast, both the...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20190812-06

    authors: Fox PM,Oliver JD,Nguyen V,Hentz VR,Curtin CM

    更新日期:2019-11-01 00:00:00

  • Atraumatic osteolysis of the distal clavicle: histologic evidence of synovial pathogenesis. A case report.

    abstract::Osteolysis of the distal clavicle was diagnosed in a young male athlete following many years as a baseball pitcher with a supplementary weightlifting program. There was no history of ligamentous injuries, contusions, fractures or separation of the acromioclavicular joint. As such, this case was categorized as "atrauma...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Brunet ME,Reynolds MC,Cook SD,Brown TW

    更新日期:1986-04-01 00:00:00

  • Simulation Training Improves Surgical Proficiency and Safety During Diagnostic Shoulder Arthroscopy Performed by Residents.

    abstract::Although virtual reality simulators have established construct validity, no studies have proven transfer of skills from a simulator to improved in vivo surgical skill. The current authors hypothesized that simulation training would improve residents' basic arthroscopic performance and safety. Twenty-two orthopedic sur...

    journal_title:Orthopedics

    pub_type: 杂志文章,随机对照试验

    doi:10.3928/01477447-20160427-02

    authors: Waterman BR,Martin KD,Cameron KL,Owens BD,Belmont PJ Jr

    更新日期:2016-05-01 00:00:00

  • Limited Medial and Lateral Approaches to Treat Stiff Elbows.

    abstract::Open arthrolysis is an effective way to treat elbow stiffness. However, previous approaches led to significant surgical trauma. The goal of the current study was to evaluate the outcome of open arthrolysis with limited medial and lateral approaches combined with hinged external fixation to treat elbow stiffness. A tot...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20150603-55

    authors: Wang W,Liu S,Jiang SC,Ruan HJ,He N,Fan CY

    更新日期:2015-06-01 00:00:00

  • Enzymatic activities in limb muscles subjected to external fixation with ring-hybrid frames.

    abstract::Enzymatic activities, which originate in the muscle envelope of tibiae with an experimental segmental bone loss, provide additional evidence for the intimate bone-muscle interrelationships in new bone formation. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20070401-06

    authors: Reznick AZ,Coleman R,Stein H

    更新日期:2007-04-01 00:00:00