1987
DOI: 10.1097/00003086-198703000-00039
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Nuclear Magnetic Resonance Studies of Experimentally Induced Delayed Fracture Union

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Cited by 28 publications
(24 citation statements)
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“…The acid tide of wound healing, i.e., the pH within wounds and fractures, change from acidic to neutral and alkaline pH as the healing process progress (18)(19)(20)(21)(22)(23)(24). The local environment is acidic during the initial stage of healing.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The acid tide of wound healing, i.e., the pH within wounds and fractures, change from acidic to neutral and alkaline pH as the healing process progress (18)(19)(20)(21)(22)(23)(24). The local environment is acidic during the initial stage of healing.…”
Section: Discussionmentioning
confidence: 99%
“…Previously, it has also been described that mineralization and bone repair is pH dependent. The early acidity within fracture hematomas is later followed by a change in pH towards alkalinity (19)(20)(21)(22)(23)(24). A low pH has also been reported during the early phase of wound healing, hence designated the acid tide (25).…”
Section: Introductionmentioning
confidence: 99%
“…Hence in bone trauma, it is conceivable that intracellular and interstitial fluid pHs in the immediate area of blood supply disruption could have pHs down to 6.4-6.5. Local pH in bone fractures in a rat crush fracture model was determined in vitro to be approximately 7.2 from fluid aspirated from fracture sites 2 days post-fracture [Newman et al, 1987]. However, it is possible that the pH at the fracture site may be even lower a few hours just post-fracture and the collection of fracture site fluid could have resulted in loss of CO 2 thus falsely elevating pH determined by this process.…”
Section: Discussionmentioning
confidence: 99%
“…This results in hypoxic conditions with a shift in cellular metabolism to an anaerobic pathway resulting in the accumulation of lactic acid. Thus, a local acidosis with a low tissue pH can develop at the fracture site [Newman et al, 1985[Newman et al, , 1987]. An early inflammatory response also occurs as the first step in tissue repair after hemostasis has been established.…”
mentioning
confidence: 99%
“…Some works used 3'P resonance in solution to observe the mechanisms of precipitation of calcium salts either in v i m ( 9 ) or in fracture site ( 10). Compared to the biomedical applications of solution NMR spectroscopy, applications of solid NMR spectroscopy are rather limited.…”
mentioning
confidence: 99%