Intramedullary Nailing after Reaming: An Investigation on the Healing Process in Osteotomized Rabbit Tibias

Danckwardt-Lillieström, G; LORENZI, G. L.; Olerud, S

doi:10.3109/ort.1970.41.suppl-134.01

Cited by 69 publications

(19 citation statements)

References 27 publications

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“…Changes that occur in physiologic parameters with induction of fat embolism are well-described 123456789101112131416171819. A drop in mean arterial BP and CO as well as a rise in pulmonary capillary wedge pressure, are commonly observed.…”

Section: Discussionmentioning

confidence: 99%

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The effect of patient position during trauma surgery on fat embolism syndrome: An experimental study

Syed

Blankstein

Bhandari

et al. 2014

IJOO

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Background:The aim of this study was to compare the effect of supine versus lateral position on clinical signs of fat embolism during orthopedic trauma surgery. Dogs served as the current study model, which could be extended and/or serve as a basis for future in vivo studies on humans. It was hypothesized that there would be an effect of position on clinical signs of fat embolism syndrome in a dog model.Materials and Methods:12 dogs were assigned to supine (n = 6) and lateral (n = 6) position groups. Airway pressures, heart rate, blood pressure, cardiac output, pulmonary artery pressure, pulmonary artery wedge pressure, right atrial pressure, arterial and venous blood gases, white blood count, platelet count and neutrophil count were obtained. Dogs were then subjected to pulmonary contusion in three areas of one lung. Fat embolism was generated by reaming one femur and tibia, followed by pressurization of the canal.Results:No difference was found in any parameters measured between supine and lateral positions at any time (0.126 < P < 0.856).Conclusions:The position of trauma patients undergoing reamed intramedullary nailing did not alter the presentation of the features of the lung secondary to fat embolism.

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Section: Discussionmentioning

confidence: 99%

“…Fat embolism syndrome (FES) can lead to morbidity in trauma patients undergoing reamed intramedullary nailing of long bone fractures 1234567891011121314. Embolization of fat is common in long bone fractures, however, FES rarely manifests.…”

Section: Introductionmentioning

confidence: 99%

The effect of patient position during trauma surgery on fat embolism syndrome: An experimental study

Syed

Blankstein

Bhandari

et al. 2014

IJOO

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“…[36] Conventional osteotomy or milling procedures has some limitations like overheating of bone when water cooling is insufficient, possible damage of adjacent soft tissues and metallic contamination of bone, which leads to possible structural bone changes and toxic effect on living cells. [37–39] In order to overcome some of these problems, a newly developed piezoelectric device has been used for harvesting the autogenous bone block. Piezoelectric bone surgical technique has an advantage of low surgical trauma, exceptional control during surgery and fast healing response of tissues.…”

Section: Discussionmentioning

confidence: 99%

Autogenous bone block in the treatment of teeth with hopeless prognosis

Pandit

Malik

et al. 2012

Contemp Clin Dent

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Background:Autogenous bone graft, although considered as a gold standard, has been relegated to background because of limited quantity and donor site morbidity. Revival of interest in its use has been reflected by its tremendous capacity for regeneration in less than ideal situation. Bone blocks have been used for implant site augmentation, with varied success.Aim:Aim of the study was to evaluate the efficacy of autogenous bone block in the regeneration of bone, for saving teeth with a hopeless prognosis.Settings and Design:A total of six patients and 12 sites with grade II and III mobile teeth were treated with autogenous bone blocks and fiber splinting.Subjects and Methods:Attachment loss, probing depths, and radiographic bone loss were recorded at baseline and at 12 months interval.Statistical Analysis Used:The Student paired t test was used for evaluation of the changes from baseline to 12 months.Results:At 12 months post-operatively, there was a highly significant amount of bone gain as compared to the baseline. The mean amount of bone loss reduced from 9.41 ± 1.16 to 5.41 ± 1.01. The clinical attachment loss reduced from 7.37 ± 1.24 mm to 3.79 ± 0.89 mm and probing depth reduced from 7 ± 1.67 mm to 5.5 ± 0.63 mm. The grafted bone was observed to have been incorporated with the host bone in most of the sites as evidenced by radiographs.Conclusions:For teeth with hopeless prognosis, this method can be considered to be a very viable alternative to extraction and replacement by costly implants.

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“…Although Küntscher was not the first surgeon to attempt intramedullary fixation, his concept of reaming allowed for the introduction of larger diameter nails, making early postoperative weight bearing possible. 1 As reamed IMN fixation of long bones evolved, the benefits of reaming became more apparent. Although Küntscher reamed to improve torsional control, another theoretical benefit has been the deposition of osteogenic material into the fracture site during reaming.…”

Section: Introductionmentioning

confidence: 99%

Complications Associated With Negative Pressure Reaming for Harvesting Autologous Bone Graft: A Case Series

Lowe

Rocca

Murtha

et al. 2010

Journal of Orthopaedic Trauma

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A technical benefit of the reamer-irrigator-aspirator (RIA) system (Synthes, Paoli, PA) is the ability to harvest large volumes (40-90 cm3) of autogenous bone graft. Early evaluations of this technique have reported few problems, all of which were attributed to technical error. This case series reviews 6 RIA-associated complications including 4 fractures and their contributing risk factors. Cases were collected from 4 independent orthopaedic centers, and all patients underwent RIA bone graft harvesting in a lower extremity long bone injuries. In this population, 2 patients experienced acute RIA-associated events, necessitating an additional procedure or altered postoperative rehabilitation, whereas 4 patients fractured through their donor site in the early postoperative period. This series suggests that surgeons should (1) preoperatively assess cortical diameters at long bone harvest sites, (2) carefully monitor intraoperative reaming, and (3) avoid RIA bone graft harvesting in patients with a history of osteoporosis or osteopenia unless postharvest intramedullary stabilization is considered.

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Intramedullary Nailing after Reaming: An Investigation on the Healing Process in Osteotomized Rabbit Tibias

Cited by 69 publications

References 27 publications

The effect of patient position during trauma surgery on fat embolism syndrome: An experimental study

The effect of patient position during trauma surgery on fat embolism syndrome: An experimental study

Autogenous bone block in the treatment of teeth with hopeless prognosis

Complications Associated With Negative Pressure Reaming for Harvesting Autologous Bone Graft: A Case Series

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