0
Journal Contents   |    
FRACTURE HEALING AFTER FIXATION WITH STANDARD PLATES CONTACT SPLINTS, AND MEDULLARY NAILS An Experimental Study
Fred C. Reynolds; J. Albert Key
View Disclosures and Other Information
Department of Surgery, Washington University School of Medicine, and The David P. Wohl, Jr., Memorial Hospital, St. Louis
1954 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1954; 36:577-616 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

When infection occurred, the fractures failed to unite and, within the time limits of this experiment, the picture presented was essentially the same regardless of the type of fixation used. In clean wounds in Group I, progress of union was about the same with both types of plates, with a slight advantage in favor of the Eggers plate. Although accurate measurements were not used, we did not see evidence of the fragments sliding on the plates after the callus had formed. With clean wounds in the second part of the experiment, progress of the union was ahead on the side treated with the Eggers plate except in those animals in which the nail fitted snugly and in these it was in favor of the nail. We do not feel that the medullary nail delays union, but rather that lack of fixation due to a poorly fitting nail may delay union. Within the scope of this experiment it appears that fixation and apposition of the fractured fragments are more important in obtaininig union than the pressure of weight-bearing.

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
    ME - Central Maine Medical Center
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    Maine - Central Maine Medical Center