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Effect of periosteal stripping on cortical bone perfusion: a laser doppler study in sheep.

Abstract：

:The goals of internal fixation are an accurate reduction and stable fixation in the presence of adequate bony vascularity. This can be achieved by a variety of means including plate fixation. A certain amount of periosteal stripping is necessary for proper open reduction of a fracture and for proper plate application. With displaced diaphyseal fractures, cortical bone perfusion (CBP) is already compromised. Further damage, in terms of periosteal stripping for plate fixation, may not be acceptable. Little information is available as to what extent the periosteum contributes to cortical bone perfusion. The purpose of this study was to determine the acute effects of periosteal stripping on cortical bone perfusion in a sheep tibia model. Twenty-three sheep were operated on and had the medial aspect of their right tibia exposed. Cortical bone perfusion measurements were obtained using laser Doppler flowmetry prior to periosteal stripping and after periosteal stripping. The results of this study show that the cortical bone perfusion significantly decreased by 20% after periosteal stripping over the entire length of the tibia. We therefore conclude that the periosteum contributes to diaphyseal bone perfusion and that it is important to preserve this source with fractures where blood supply is already significantly compromised.

journal_name

Calcif Tissue Int

journal_title

Calcified tissue international

authors

Kowalski MJ,Schemitsch EH,Kregor PJ,Senft D,Swiontkowski MF

doi

10.1007/s002239900080

subject

Has Abstract

pub_date

1996-07-01 00:00:00

pages

24-6

issue

1

eissn

0171-967X

issn

1432-0827

journal_volume

59

pub_type

杂志文章

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