0
Journal Contents   |    
THE INFLUENCE OF PRESSURE AND TENSION ON GROWING BONE IN EXPERIMENTS WITH ANIMALS
HEINZ GELBKE
View Disclosures and Other Information
Surgical Clinic, University of Göttingen
1951 by The American Orthopaedic Association
The Journal of Bone & Joint Surgery.  1951; 33:947-954 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

No agreement has yet been reached on the opposing theories of Hueter and Volkmann on the one hand and Julius Wolff on the other. The writer's experiments with young dogs were made in order to contribute to the clarification of these controversial theories. The findings permit the following conclusions:

1. A permanent and maximum degree of pressure inhibits longitudinal bone growth and does not lead to a compensatory increase in girth. This inhibition of growth is due to the prevention of proliferation in the growth cartilage, which narrows and becomes irregular in its arrangement. New-bone formation, that is, the replacement of the available cartilaginous tissue, proceeds without any interruption. Atrophy of the bones does not occur.

2. Strong and permanent tension does not increase enchondral bone growth; on the contrary, it has nearly the same effect as compression when it is applied directly to the bone. The nature of the insertion of the ligament at the apophysis seems to be such that there is no danger of extreme unphysiological tension.

3. Changes caused by mechanical forces appear to be reversible to a certain extent, if these forces are removed before skeletal maturation.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    Virginia - Charleston Area Medical Center