0
Journal Contents   |    
Microangiography in Bone Healing I. Undisplaced Closed Fractures
Frederic W. Rhinelander; Richard A. Baragry
View Disclosures and Other Information
Department of Orthopaedic Surgery, Western Reserve University School of Medicine and Cleveland Metropolitan General Hospital, Cleveland
1962 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1962; 44:1273-1298 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

The blood supply of healing undisplaced closed fractures of the radius and tibia in adult mongrel dogs was studied by means of microangiograms and histological preparations. The microangiograms were prepared from decalcified longitudinal slices across the fracture site, one millimeter in thickness. The corresponding histological preparations were made from the same slices of tissue. The vascular pattern at the site of fracture, at intervals from one day to eight weeks after fracture, was compared with the normal vascular pattern. Immediately after fracture there was a marked opening up of the existing arterial tree. With the advancement of healing, both medullary and periosteal circulations increased greatly by the development of new blood vessels; but the medullary arterial system, when intact, played the major role in the supply of blood to the uniting callus and in the revascularization of the necrotic cortex at the fracture site. The ascendency of the medullary blood supply increased as healing progressed. In the dog the normal configuration of the blood supply of the compacta is similar to that in man; the inner two-thirds of the cortex is supplied by branches of the nutrient artery. Our experimental findings in the dog support clinical experience. The periosteal circulation of long bones can take over when the medullary circulation has been interrupted by displacement of the fracture fragments or by surgery—as will be described in subsequent reports of experiments in progress. However, the medullary arterial supply, when available, dominates the vascular picture in rapid fracture healing.

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
    Related Audio and Videos
    PubMed Articles
    Treatment of a Bennett Fracture Using Tension Band Wiring.
    The Journal of hand surgery: Issue date- 2012 Feb 1
    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