REDUCTION OF POSTTRAUMATIC OSTEOPOROSIS AFTER EXTERNAL FIXATION OF TIBIAL FRACTURES

被引：15

作者：

TANDON, SC

GREGSON, PA

THOMAS, PBM

SAKLATVALA, J

SINGANAYAGAM, J

JONES, PW

机构：

[1] Department of Orthopaedics, Keele University

[2] Department of Statistics, Keele University

[3] Department of Orthopaedics, Hereford General Hospital

[4] Department of Radiology, North Staffordshire Royal Infirmary

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1995年 / 26卷 / 07期

关键词：

D O I：

10.1016/0020-1383(95)00069-L

中图分类号：

R4 [临床医学];

学科分类号：

1002 [临床医学]; 100602 [中西医结合临床];

摘要：

Disuse osteoporosis following tibial fractures is associated with pain and prolonged rehabilitation. In a prospective study, 22 patients with stable tibial fractures treated in plaster of Paris were compared with 15 patients in whom unstable tibial fractures were treated by external fixation. All patients were allowed to bear full weight from the day after the injury. The patients treated with plaster of Paris had the less severe fractures but still had a greater number of the higher grades of osteoporosis. We found a significantly lower degree of osteoporosis in the external fixator group. A comparison of the median percentage bearing weight in the two groups of patients showed greater percentage bearing weight in the external fixator group at four and eight weeks after the injury. We suggest that the reduction of post-traumatic osteoporosis is due to improved early function and weight bearing in patients treated by external fixation.

引用

页码：459 / 462

页数：4

共 16 条

[1]

Jones, Radiological appearances of disuse osteoporosis, Clin Radiol, 20, (1969)

[2]

Smith, Ward, Watt, Post-traumatic osteoporosis and algodystrophy after external fixation of tibial fractures, Injury, 24, (1993)

[3]

Arnstein, Regional osteoporosis, Orthop Clin North Am, 3, (1972)

[4]

Resnick, Niwayama, Diagnosis of Bone and Joint Disorders, (1988)

[5]

Gustillo, Anderson, Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones — retrospective and prospective analyses, J Bone Joint Surg [Am], 58 A, (1976)

[6]

Cohen, A coefficient of agreement for nominal scales, Educational and Psychological Measurement, 20, (1960)

[7]

Nilsson, Post-traumatic osteopenia. A quantitative study of the bone mineral mass in the femur following tracture of the tibia in man using americium-241 as a photon source, Acta Orthop Scand, (1966)

[8]

Finsen, Benum, Osteopenia after ankle fractures. The influence of early weight bearing and muscle activity, Clin Orthop, 245, (1989)

[9]

Steinbach, The roentgen appearance of osteoporosis, Radiol Clin North Am, 2, (1964)

[10]

Sarangi, Ward, Atkins, Fractures after regional disuse osteoporosis, J Orthop Rheumatol, 5, (1992)

← 1 2 →