Zusammenfassung
Frühzeitige Funktion, Gewichtsbelastung und Bewegung der Gelenke einer Extremität während der Frakturbehandlung waren Neuerungen, die für viele traditionelle Auffassungen der konservativen und operativen Behandlungsmethoden eine Herausforderung darstellten. Daher wurde es wichtig für uns, auf die entstandenen Differenzen hinsichtlich der Wichtigkeit dieser älteren Prinzipien der Frakturbehandlung und auf ihre Beziehung zur Frakturschienung einzugehen. In dem Bestreben, ein besseres Verständnis davon zu erlangen, weshalb Techniken der Frakturschienung klinisch so erfolgreich sind, wurde eine Serie von Untersuchungen in unseren Forschungslabors durchgeführt (Sarmiento, Latta). Eine Zusammenfassung der wichtigen Aspekte dieser Forschung folgt weiter unten.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Akeson WH et al (1976) Effects of internal fixation plates on long bone remodeling. Acta Orthop Scand 47: 241
Anderson LD (1965) Compression plate fixation and the effect of different types of internal fixation on fracture healing. J Bone Joint Surg 47-A: 191
Bagby GW, Janes AM (1958) The effect of compression on the rate of fracture healing using a special plate. Am J Surg 95: 761
Bassett CAL (1962) Current concepts of bone formation. J Bone Joint Surg 44-A: 1217
Bassett CAL, Becker RO (1962) Generation of electric potentials by bone in response to mechanical stress. Science 137: 1063
Becker RO, Murray BG (1970) The electrical control system regulating fracture healing in amphibians. Clin Orthop 73: 169
Brighton CT, Krobs AG (1972) Oxygen tension of healing fractures in the rabbit. J Bone Joint Surg 54-A: 323
Charnley J (1968) The closed treatment of common fractures, 3rd ed. Williams and Wolkins, Baltimore
Currey JO (1973) Effects of stress concentration in bone. Abstract of paper presented at 5th Annual Biomaterials Symp, Clemson, South Carolina
Danckwardt-Lilliestrom G (1969) Reaming of the medullary cavity and its effect on diaphyseal bone. Acta Orthop Scand [Suppl] 128: 1
Danckwardt-Lilliestrom G et al (1970) Intracortical circulation after intramedullary reaming with reduced pressure in the medullary cavity. J Bone Joint Surg 52-A: 1390
Eggers GWN et al (1950) Clinical significance of the contact-compression factor in bone surgery. AMA Arch Surg 62: 467
Erickson E (1974) Streaming potentials and other water dependent effects in mineralized tissue. Ann NY Acad Sci 238: 321
Friedenberg AB, French G (1952) Effects of known compression forces on fracture healing. Surg Gynecol Obstet 94: 743
Friedenberg FB, Brighton CT (1966) Bioelectrical potentials in bone. J Bone Joint Surg 48-A: 915
Gillespie J (1954) The nature of bone changes associated with nerve injuries and disuse. J Bone Joint Surg 36-B: 464
Gothman L (1960) Arterial changes in experimental fractures of the rabbit’s tibia treated with intramedullary nailing. Acta Orthop Scand 120: 289
Gothman L (1961) Arterial changes in experimental fractures of the monkey’s tibia treated with intramedullary nailing. Acta Chir Scand 121: 56
Gothman L (1962) Local arterial changes caused by surgical exposure and application of encircling wires (cerclage) on the rabbit tibia. Acta Chri Scand 123: 9
Gothman L (1962) Local arterial changes associated with experimental fractures of the rabbit’s tibia treated with encircling wires (cerclage). Acta Chir Scand 123: 17
Gothman L (1962) Local arterial changes associated with diastasis in experimental fractures of the rabbit’s tibia treated with intramedullary nailing. Acta Chir Scand 123: 104
Greenwald RA (1978) Proteocyclan and lysozyme content of healing fracture callus. Proc of 24th ORS. Dallas, Texas, p 33
Holden CEA (1972) The role of blood supply to soft tissues in the healing of diaphyseal fractures. J Bone Joint Surg 54-A: 993
Hults A, Olerud S (1965) The healing of fractures in denervated limbs. J Trauma 5: 571
Kellerova E, et al (1970) Changes in the muscle and skin blood flow following lower leg fracture in man. Acta Orthop Scand 41: 240
Ketenjian AY, Charalampos A (1975) Morphological and biochemical studies during differentiation and calcification of fracture callus cartilage. Clin Orthop 107: 266
Ketenjian AY, Jafri AM, Arsenis C (1978) The function of differentiating cells in the control of calcification in fracture callus. The role of extracellular vesicles and collagen. Proc of the 24th ORS. Dallas, Texas, p 35
Kruse RL, Kelly PJ (1974) Acceleration of fracture healing distal to a venous tourniquet. J Bone Joint Surg 56-A: 730
Latta L, Sarmiento A (1977) Biomechanical analysis of the stability of tibial fractures. Orthop Trans 1: 229
Latta L, Sarmiento A (1980) Mechanical behavior of tibial fractures and periosteal fracture callus mechanics. In: Moore T (ed) AAOS Symposium on Trauma to the Leg and Its Sequella. Mosby, St Louis
Latta L, Sarmiento A, Katz J (1978) The structure and function of the interosseous membrane. Proc of 24th ORS. Dallas, Texas
Latta L, Sarmiento A, Tarr RR (1980) The rationale of functional bracing of fractures. Research experiences. Clin Orthop 146: 28
Laurnen EL, Kelly PJ (1969) Blood flow oxygen consumption, carbon dioxide production in blood calcium and pH changes in tibial fractures in dogs. J Bone Joint Surg 51-A: 298
Lindholm RB et al (1970) Effect of forced interfragmental movements on healing of tibial fractures in rats. Acta Orthop Scand 40: 721
Lippert FG, Hirsch C (1974) The three-dimensional measurement of tibial fracture motion by photogrammetry. Clin Orthop 105: 130
Lockwood R, Latta L (1980) Bone blood flow changes with diaphyseal fractures. J Bone Joint Surg Orthop Trans (in press)
Macnab I (1974) The role of periosteal blood supply in the healing of fractures of the tibia. Clin Orthop 105: 27
Matthews LS, Hirsch C (1972) Temperatures measured in human cortical bones when drilling. J Bone Joint Surg 54-A: 297
Milner JC, Rhinelander FW (1968) Compression fixation in primary bone healing. Surg Forum 19: 453
Minns RJ, Hunter JAA (1976) The mechanical and structur al characteristics of the tibiofibular interosseous membrane. Acta Orthop Scand 47: 236
Nilsson DER, Smith RE (1969) The influence of breaking force of osteoporosis following fracture of the tibial shaft in rats. Acta Orthop Scand 40: 72
Nylander G, Semb H (1972) Veins of the lower part of the leg after tibial fractures. Surg Gynecol Obstet 134: 974
Olerud S, Danckwardt-Lilliestrom G (1968) Fracture healing in compression osteosynthesis in the dog. AAOS Instructional Course Lectures. J Bone Joint Surg 50-B: 844
Olerud S, Danckwardt-Lilliestrom G (1971) Fracture healing in compression osteosynthesis. Acta Orthop Scand [Suppl] 137: 1
Paradis GR, Kelly PJ (1975) Blood flow and mineral deposition in canine tibial fractures. J Bone Joint Surg 57-A: 220
Pita J, Muller F, Howell DS (1973) Disaggregation of proteoglycan aggregate during endochondral calcification. Physiological role of cartilage lysozyme. In: Burleigh PMC, Poole AR (ed) Dynamics of connective tissue macromolecules. North-Holland, Amsterdam, Chap 12
Rhinelander FW (1968) The normal microcirculation of diaphyseal cortex and its response to fracture. AAOS Instructional Course Lectures. J Bone Joint Surg 50-A: 784
Rhinelander FW, Baragry R (1962) Microangiography in bone healing. I Undisplaced closed fractures. J Bone Joint Surg 44-A: 1273
Rhinelander FW, Baragry R (1968) Microangiography in bone healing. II. Displaced closed fractures. J Bone Joint Surg 50-A: 643
Rhinelander FW et al (1967) Microangiography in bone healing, III. Osteotomies with internal fixation. J Bone Joint Surg 49-A: 1006
Sarmiento A (1970) A functional below-knee brace for tib- ial fractures. J Bone and Joint Surg 52-A: 2, 295–311
Sarmiento A (1972) Functional bracing of tibial and femoral shaft fractures. Clin Orthop and Rel Res 82: 2–13
Sarmiento A, Sinclair WmF (1968) Prosthetic and orthotic principles in orthopaedics. Artificial Limbs 2–2: 28–32
Sarmiento A, Latta L (1975) Design of a fracture brace. Proceedings of the 28th Annual Conf on Eng in Med and Biology
Sarmiento A, Latta L (1976) Factors controlling the behavior of tibial fractures. A correlation of clinical and laboratory studies. Abstract of kappa delta award paper. J Bone Joint Surg 58-A: 724
Sarmiento A, Latta L, Zilioli A, Sinclair WF (1974) The role of soft tissues in stabilization of tibial fractures. Clin Orthop 105: 116
Sarmiento A, Latta L, Sinclair WmF (1976) Functional bracing of fractures, A.A.O.S. Instructional Course Lectures. The C.V. Mosby Company
Sarmiento A, Schaeffer J, Beckerman L, Latta L, Enis J (1977) Fracture healing in rat femora as effected by functional weight-bearing. J Bone Joint Surg 59-A: 369
Sarmiento A, Kinman PB, Latta L (1979) Fractures of the proximal tibia and tibial condyles. Clin Orthop Rel Res 145: 136–145
Sarmiento A, Mullis DL, Latta LL, Alvarez RR (1980) A quantitative comparative analysis of fracture healing under the influence of compression plating versus closed weight-bearing treatment. Clin Orthop 232: 239
Schenck T, Somerset JH, Porter RE (1969) Stresses in orthopaedic walking casts. ASME Publication #69-BHF-14
Trueta J (1963) The role of vessels in osteogenesis. J Bone Joint Surg 45-B: 402
Trueta J (1974) Blood supply and rate of healing of tibial fractures. Clin Orthop 105: 11
Trueta J, Caladias AK (1955) Vascular changes caused by the Kuntscher type of nailing. J Bone Joint Surg 37-B: 492
Trueta J, Buhr AJ (1963) The vascular contribution to osteogenesis. V. The vasculature supplying the epiphyseal cartilage in rachitic rats. J Bone Joint Surg 45-B: 572
Uhthoff HK (1979) Prevention of bone atrophy through an early removal of internal fixation plates. An experimental study in the dog. Howmedica Trauma Workshop, New York
Uhthoff HK, Dubuc FL (1971) Bone structure changes in the dog under rigid internal fixation. Clin Orthop 81: 165
Whiteside LA (1977) The effects of extraperiosteal and subperiosteal dissection of the rabbit tibia on muscle blood flow. Proceedings of 23rd Annual ORS. Las Vegas, Nevada
Whiteside LA, Lesker RA, Sweeney RE (1978) Relationship between biochemical and mechanical characteristics of callus during radiographically determined stages of fracture healing. Proceedings of 24th Annual ORS. Dallas, Texas
Woo SLY, et al (1976) A comparison of cortical bone atrophy secondary to fixation with plates with large differences in bending stiffness. J Bone Joint Surg 58-A: 190
Wray JB (1964) Acute changes in femoral arterial blood flow after closed tibial fractures in dogs. J Bone Joint Surg 46-A: 1262
Yablon IG, Cruess RL (1968) The effect of hyperbaric oxygen on fracture healing in rats. J Trauma 8: 186
Yamagiski M, Uoshimura Y (1955) The biomechanics of fracture healing. J Bone Joint Surg 37-A: 1035
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1984 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Sarmiento, A., Latta, L.L. (1984). Die wissenschaftliche Grundlage der nichtoperativen funktionellen Knochenbruchbehandlung. In: Nichtoperative funktionelle Frakturenbehandlung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08977-4_2
Download citation
DOI: https://doi.org/10.1007/978-3-662-08977-4_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-08978-1
Online ISBN: 978-3-662-08977-4
eBook Packages: Springer Book Archive