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Post-Fracture Vascular Phenomena and Long-Bone Overgrowth in the Immature Skeleton of the Rat
James B. Wray; Harold O. Goodman
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Winston-Salem, North Carolina
1961 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1961; 43:1047-1055 
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Abstract

1. The factors leading to long-bone overgrowth after fracture of the tibia in the growing rat are partly regional in effect and produce overgrowth in the femur of the same limb.

2. As evaluated by the plastic injection technique, vascular-bed hypertrophy after fracture does not appear to be related to the overgrowth phenomenon in the rat. On the other hand, it is possible that arterial-flow changes after fracture may play a part in the production of the growth alterations demonstrated in this experiment.

3. Immediately following fracture of one tibia in the immature rat, femoral growth is temporarily retarded on both fractured and non-fractured sides. This is followed by a period in which both fractured and non-fractured limbs show overgrowth. This femoral overgrowth is significantly greater in the fractured limb than in the non-fractured limb. Growth retardation of the unfractured side did not seem to contribute significantly to the observed differences.

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    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.
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