Pathophysiologic Aspects of Soft Tissue Microcirculation in the Zone of Long Bones Pseudarthrosis

S. P Mironov; N. A Es’kin; A. I Krupatkin; G. A Kesyan; R. Z Urazgil’deev; I. G Arsen’ev

doi:10.17816/vto20120422-26

N.N. Priorov Journal of Traumatology and Orthopedics ›› 2012, Vol. 19 ›› Issue (4) : 22 -26. DOI: 10.17816/vto20120422-26

Articles

research-article

Pathophysiologic Aspects of Soft Tissue Microcirculation in the Zone of Long Bones Pseudarthrosis

Author information +

History +

PDF

Abstract

Thirty four patients with delayed consolidating fractures and long bones pseudarthrosis and 30 healthy individuals (control group) were examined using laser Doppler flowmetry and computed thermography. It was shown that during the osteogenesis process no isolated changes in bone circulation took place but the potentialities of blood flow in the extremity segment as a whole were mobilized. Important role of bone surrounding soft tissue circulation for provision of adequate osteogenesis was confirmed. In case of pseudarthrosis formation microcirculation system, especially its nutrient part, responded «keenly» to the changes in regional metabolism and bone regeneration. That stipulated diagnostic and prognostic importance of soft tissue microhemocirculation study in the zone of pseudarthrosis. Preoperative functional examination of soft tissue circulation enabled to determine risk group for nonconsolidation ordelayed consolidation of fractures. For better result special treatment tactics can be used (osteogenesis stimulators, free vascularized autografts, etc.).

Keywords

pseudarthrosis / delayed fracture consolidation / reparative osteogenesis / microhemocirculation / computed tomography / laser Doppler flowmetry

Cite this article

Download citation ▾

S. P Mironov, N. A Es’kin, A. I Krupatkin, G. A Kesyan, R. Z Urazgil’deev, I. G Arsen’ev. Pathophysiologic Aspects of Soft Tissue Microcirculation in the Zone of Long Bones Pseudarthrosis. N.N. Priorov Journal of Traumatology and Orthopedics, 2012, 19(4): 22-26 DOI:10.17816/vto20120422-26

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]	Marsch D. Concepts of fracture union, delayed union, and nonunion. Clin. Orthop. Relat. Res. 1998; 355 (Suppl.): S22-S30.

[2]	Borrelli I.Jr., Prickett W., Song E., Becker D., Ricci W. Extraosseous blood supply of the tibia and the effects of different plating techniques: a human cadaveric study. J. Orthop. Trauma. 2002; 16 (10): 691-5.

[3]	Menck J., Schreiber H.W., Hertz T., Burgel N. Angioarchitecture of the ulna and radius and their practical relevance. Langerbecks Arch. Chir. 1994; 379 (2):70-5.

[4]	Triffitt P.D., Cieslak C.A., Gregg P.J. A quantitative study of the routes of blood flow to the tibial diaphysis after an osteotomy. J. Orthop. Res. 1993; 11 (1): 49-57.

[5]	Strakhan R.K., McCarthy I., Fleming R., Hughes S.P.F. The role of the tibial nutrient artery. J. Bone Jt Surg. Br. 1990; 72: 391-4.

[6]	Reed A.A.C., Joyner C.J. , Isefuku S., Brownlow H.C. ,Simpson A.H.R.W. Vascularity in a new model of atrophic nonunion. J. Bone Jt Surg. Br. 2003; 85 (4): 604-10.

[7]	Lu C., Miclau T., Hu D., Marcucio R.S. Ischemia leads to delayed-union during fracture healing: a mouse model. J. Orthop. Res. 2007; 25 (1): 51-61.

[8]	Koslowsky T.C., Schliwa S., Koebke J. Presentation of the microscopic vascular architecture of the radial head using a sequential plastination technique. Clin. Anat. 2011; 24 (6):721-32.

[9]	Мироманов А.М., Усков С.А., Миронова О.Б., Шаповалов К.Г., Намоконов Е.В. Значение параметров микрокровотока в диагностике замедленной консолидации переломов длинных трубчатых костей. Вестник эксперим. и клин. хирургии. 2011; IV(1): 101-6.

[10]	Крупаткин А.И., Сидоров В.В., ред. Лазерная допплеровская флоуметрия микроциркуляции крови. М.: Медицина; 2005.