Advertisement

The Influence of Shock Waves on Epiphysial Growth Plates: First Results of an In-Vivo Study with Rabbits

  • S. Lüssenhop
  • D. Seemann
  • M. Hahn
  • L. Meiss

Abstract

Differences in leg length are a routine problem in daily orthopaedic practice. Length differences up to about 3 cm are usually compensated conservatively by using arch supports or orthopaedic shoes. Larger differences in length are treated surgically. A discontinuation of growth can, for example, be achieved by epiphysiodesis according to Phemister, and a temporary retardation of growth by clasping after Blount. Both methods are burdened by uncertainty in prognosis and the usual risks of surgical treatment. A non- or minimally invasive method would avoid or minimize the latter.

Keywords

Shock Wave Growth Plate Medullary Cavity Left Tibia Epiphysial Growth Plate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Alberius P (1986) The correlation between craniofacial and long-bone growth: an experimental investigation in normal bones. Am J Anat 177:519–525PubMedCrossRefGoogle Scholar
  2. 2.
    Barr JS, Stinchfield AJ, Reidy JA (1950) Sympathic ganglioectomy and limb length in polymyelitis. J Bone Joint Surg 32A:793–802Google Scholar
  3. 3.
    Becker OR, Sparado JA, Marino AA (1977) Clinical experiences with low-intensity direct-current stimulation of bone growth. Clin Orthop 124:75–83PubMedGoogle Scholar
  4. 4.
    Bierens de Haan B, et al. (1986) The effects of cold upon bone growth: a preliminary study. Ann Plast Surg 16(6):509–515PubMedCrossRefGoogle Scholar
  5. 5.
    Bowen J, Johnson WJ (1984) Percutaneous epiphsiodesis. Clin Orthop 190:170–173PubMedGoogle Scholar
  6. 6.
    Brookes M (1957) Femoral growth after occlusion of the principle nutrient canal in day-old rabbits. J Bone Joint Surg 39B:563–571Google Scholar
  7. 7.
    Broughten NS, Dickens DRV, Cole WG, Menelaus MB (1989) Epiphysiolysis for partial growth arrest. J Bone Joint Surg 71:13–16Google Scholar
  8. 8.
    Canale ST, Russel TA, Holcomb RL (1986) Percutaneous epiphysiodesis: experimental study and preliminary clinical results. J Pediatr Orthop 6:150PubMedCrossRefGoogle Scholar
  9. 9.
    Duarte LR (1983) The stimulation of bone growth by ultrasound. Arch Orthop Trauma Surg 101:153PubMedCrossRefGoogle Scholar
  10. 10.
    Goetz RH, Toit JG du, Swart BH (1955) Vascular changes in poliomyelitis and the effect of sympathectomy on bone growth. Acta Med Scand Suppl 306:56–83PubMedGoogle Scholar
  11. 11.
    Grill F, Chochole M, Schultz A (1990) Beckenschiefstand und Beinlängendifferenzen. Orthopäde 19:244–262PubMedGoogle Scholar
  12. 12.
    Haupt G, Haupt A, Ekkernkamp A, Gerety B, Chvapil M (1992) Influence of shock waves on fracture healing. J Urol 6:529–532Google Scholar
  13. 13.
    Heikel HVA (1960) On ossification and growth of certain bnes of the rabbit, with a comparison of the skeletal age in the rabbit and in man. Acta Orthop Scand 29:171–184PubMedGoogle Scholar
  14. 14.
    Keck SW, Kelly PJ (1965) The effect of venous stasis on intraosseous pressure and longitudinal bone growth in the dog. J Bone Joint Surg 47A:539–544Google Scholar
  15. 15.
    Kember NF (1960) Cell division in endochondral ossification: a study of cell proliferation in rat bones by the method of tritiated thymidine autoradiography. J Bone Joint Surg 42B:824Google Scholar
  16. 16.
    Kuijpers-Jagtman AM, Bex JHM, Maltha JC, Daggers JG (1988) Longitudinal growth of the rabbit femur after vascular and periosteal interference. Anat Anz Jena 167:349–358Google Scholar
  17. 17.
    Langenskiöld A, Edgren W (1950) Imitation of chondrodysplasia by localized roentgten ray injury — an experimental study of bone growth. Acta Chir Scand 99:353–373Google Scholar
  18. 18.
    Langenskiöld A, et al. (1989) Regeneration of the growth plate. Acta Anat 134:113–123PubMedCrossRefGoogle Scholar
  19. 19.
    Lee EH, Gao GX (1993) Management of partial growth arrest. Physis, fat or silastic. J Pediatr Orthop 13:368–372PubMedCrossRefGoogle Scholar
  20. 20.
    Mäkelä EA, Vainnionpää S, Vihtonen K, Mero M, Rokkanen P (1988) The effect of trauma to the lower femoral epiphysial plate. J Bone Joint Surg (Br) 70B:187–191Google Scholar
  21. 21.
    Morein G, Gassner S, Kaplan I (1978) Bone growth alterations resulting from application of CO2-laser beam to the epiphysial growth plates. Acta Orthop Scand 49:244–248PubMedCrossRefGoogle Scholar
  22. 22.
    Ogilvie JW (1986) Epiphysiodesis: evaluation of a new technique. J Pediatr Orthop 6:147PubMedCrossRefGoogle Scholar
  23. 23.
    Pease CN (1952) Local stimulation of growth of long bones. J Bone Joint Surg 34A:1–24Google Scholar
  24. 24.
    Phillips RD, Kimeidorf DJ (1966) Age and dose of bone growth retardation induced by X-irridation. Radiol Res 27:384–396CrossRefGoogle Scholar
  25. 25.
    Ring PA, Lee J (1958) The effect of heat upon the growth of bone. J Pathol Bact 75:405CrossRefGoogle Scholar
  26. 26.
    Rosen MA, Beer Kj, Wiater JP, Davidson DD (1990) Epiphysiodesis by electrocautery in the rabbit and dog. Clin Orthop 256:244–253PubMedGoogle Scholar
  27. 27.
    Saxer U, Simunovic V (1975) Möglichkeiten des operativen Beinlängenausgleichs. Ther Umsch 32(5):306–311PubMedGoogle Scholar
  28. 28.
    Silverskiöld N (1934) Über Längenwachstum der Knochen und Transplantation von Epiphysenscheiben. Acta Chir Scand 75:77Google Scholar
  29. 29.
    Solá CK, Silberman FS, Cabrini RI (1963) Stimulation of the longitudinal growth of long bones by periosteal stripping. J Bone Joint Surg 45A:1679–1684Google Scholar
  30. 30.
    Sukul K, Johannes EJ, Pierik EGJM, Eijck GJWM van, Kristelijn MB (1993) The effect of high-energy shock waves focused on cortical bone: an invitro study. J Surg Res 54:46–51CrossRefGoogle Scholar
  31. 31.
    Trueta J, Amato VP (1960) The vascular contribution to osteogenesis. J Bone Joint Surg 42B:571–587Google Scholar
  32. 32.
    Valchanou VD, Michailov P (1991) High-energy shock waves in the treatment of delayed nonunion of fractures. Int Orthop (SICOT) 15:181–184CrossRefGoogle Scholar
  33. 33.
    Roermund PM van, et al. (1991) Bone growth and remodeling after distraction epiphy-siolysis of the proximal tibia of the rabbit. Clin Orthop 266:304–312PubMedGoogle Scholar
  34. 34.
    Wilson CL, Percy EC (1956) Experimental studies of the epiphysial stimulation. J Bone Joint Surg 38A:1097–1104Google Scholar
  35. 35.
    Yeaman LD, Jerome CP, McCullough DL (1988) Effects of shock waves on the structure and growth of the immature rat epiphysis. J Urol 10:670–672Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • S. Lüssenhop
  • D. Seemann
  • M. Hahn
  • L. Meiss

There are no affiliations available

Personalised recommendations