The stability of union in tibial shaft fractures: Its measurement by a non-invasive method

Edholm, Paul; Hammer, Richard; Hammerby, Staffan; Lindholm, Bernt

doi:10.1007/bf00436137

Cited by 12 publications

(2 citation statements)

References 13 publications

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“…Biomechanical testing methods can be divided into direct and indirect measurement of stiffness. In direct measurement displacement angle across the fracture is measured by radiograph or surface measurements using four-point bending in the setting of applied load [ 58 , 59 ]. The degree of deflection by the bending moment was assumed to be inversely proportional to the stability of the fracture union.…”

Section: Measures Of Healingmentioning

confidence: 99%

Current Options for Determining Fracture Union

Morshed

2014

Advances in Medicine

163

112

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Determining whether a bone fracture is healed is one of the most important and fundamental clinical determinations made in orthopaedics. However, there are currently no standardized methods of assessing fracture union, which in turn has created significant disagreement among orthopaedic surgeons in both clinical and research settings. An extensive amount of research has been dedicated to finding novel and reliable ways of determining healing with some promising results. Recent advancements in imaging techniques and introduction of new radiographic scores have helped decrease the amount of disagreement on this topic among physicians. The knowledge gained from biomechanical studies of bone healing has helped us refine our tools and create more efficient and practical research instruments. Additionally, a deeper understanding of the molecular pathways involved in the bone healing process has led to emergence of serologic markers as possible candidates in assessment of fracture union. In addition to our current physician centered methods, patient-centered approaches assessing quality of life and function are gaining popularity in assessment of fracture union. Despite these advances, assessment of union remains an imperfect practice in the clinical setting. Therefore, clinicians need to draw on multiple modalities that directly and indirectly measure or correlate with bone healing when counseling patients.

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Section: Measures Of Healingmentioning

confidence: 99%

Current Options for Determining Fracture Union

Morshed

2014

Advances in Medicine

163

112

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“…Often, qualitative range of motion and recovery of function scores are also utilized, and in the cases of long bones in the extremities, it may be clinically possible to assess force generation during appropriate movements as a form of mechanical testing . Indirect evaluation of the site can also be performed by using radiography in conjunction with force application to assess relative motion …”

Section: Metrics For Evaluationmentioning

confidence: 99%

Quality of bone healing: Perspectives and assessment techniques

Guda

Labella

Chan

et al. 2014

Wound Repair Regeneration

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Bone regeneration and healing is an area of extensive research providing an ever-expanding set of not only therapeutic solutions for surgeons but also diagnostic tools. Multiple factors such as an ideal graft, the appropriate biochemical and mechanical wound environment, and viable cell populations are essential components in promoting healing. While bony tissue performs many functions, critical is mechanical strength, followed closely by structure. Many tools are available to evaluate bone quality in terms of quantity, structure, and strength; the purpose of this article is to identify the factors that can be evaluated and the advantages and disadvantages of each in assessing the quality of bone healing in both preclinical research and clinical settings.

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