A SMALL EFFECT OF WEIGHT BEARING IN PROMOTING FRACTURE-HEALING

被引:13
作者
WU, CC [1 ]
SHIH, CH [1 ]
机构
[1] CHANG GUNG MEM HOSP, CHANG GUNG MED COLL, DEPT ORTHOPED SURG, TAIPEI, TAIWAN
关键词
D O I
10.1007/BF00431040
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We treated 66 consecutive type IV comminuted femoral shaft fractures with static Grosse-Kempf interlocking nails and followed them up for at least 1 year (median 27 months). Although the effect of weight bearing was completely lost, 60 fractures healed primarily without dynamization. We conclude that weight bearing contributes only an auxiliary role in promoting fracture healing, and that the most decisive role is adequate mechanical stability with sufficient nutrition.
引用
收藏
页码:28 / 32
页数:5
相关论文
共 25 条
[1]   TREATMENT OF UNUNITED TIBIAL DIAPHYSEAL FRACTURES WITH PULSING ELECTROMAGNETIC-FIELDS [J].
BASSETT, CAL ;
MITCHELL, SN ;
GASTON, SR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1981, 63 (04) :511-523
[2]  
BROWN PW, 1974, CLIN ORTHOP RELAT R, P167
[3]  
BROWNER BD, 1984, CONT ORTHOP, V8, P17
[4]   INTRAMEDULLARY NAILING OF FEMORAL-SHAFT FRACTURES .2. FRACTURE-HEALING WITH STATIC INTERLOCKING FIXATION [J].
BRUMBACK, RJ ;
UWAGIEERO, S ;
LAKATOS, RP ;
POKA, A ;
BATHON, GH ;
BURGESS, AR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (10) :1453-1462
[5]   MECHANICAL INFLUENCES IN BONE REMODELING - EXPERIMENTAL RESEARCH ON WOLFFS LAW [J].
CHAMAY, A ;
TSCHANTZ, P .
JOURNAL OF BIOMECHANICS, 1972, 5 (02) :173-&
[6]   CLOSED MEDULLARY NAILING FOR FRACTURED SHAFT OF THE FEMUR - A COMPARISON BETWEEN THE KUNTSCHER AND THE AO TECHNIQUES [J].
CHAN, KM ;
TSE, PYT ;
CHOW, YYN ;
LEUNG, PC .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1984, 15 (06) :381-387
[7]  
CHANDLER RW, 1984, ORTHOPEDICS, V7, P336
[8]   THE PLACE OF THE DYNAMIC COMPRESSION PLATE IN FEMORAL-SHAFT FRACTURES [J].
CHENG, JCY ;
TSE, PYT ;
CHOW, YYN .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1985, 16 (08) :529-534
[9]   THE INFLUENCE OF INDUCED MICROMOVEMENT UPON THE HEALING OF EXPERIMENTAL TIBIAL FRACTURES [J].
GOODSHIP, AE ;
KENWRIGHT, J .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1985, 67 (04) :650-655
[10]   MECHANICAL EFFECTS OF FUNCTION ON BONE HEALING - NONWEIGHT BEARING AND EXERCISE IN OSTEOTOMIZED RATS [J].
GRUNDNES, O ;
REIKERAS, O .
ACTA ORTHOPAEDICA SCANDINAVICA, 1991, 62 (02) :163-165