A novel specialized staging system for cancellous fracture healing, distinct from traditional healing pattern of diaphysis corticalfracture?

نویسندگان

  • Duanyang Han
  • Na Han
  • Feng Xue
  • Peixun Zhang
چکیده

Metaphysis cancellous bone fracture is one of the most common fracture types in clinical orthopedic practice. The specialized healing process of cancellous bone fracture has long been ignored by the academic society. Comparing with diaphyseal cortical bone healing, cancellous bone healing showed less bone tissue necrosis, barely any hematoma formation, limited inflammation events and no external callus formation. Based on our clinical practice and preliminary study, we hypothesize that the healing process of metaphysis cancellous fracture is a distinct process which could be concluded into five overlapping stages with distinguished histological features of each other. Different from the traditional theory defining diaphyseal cortical fracture, our novel staging theory is specialized in cancellous bone tissue fully considering its unique histological features. This novel staging system may help clinical orthopedists gain specialized understanding concerning cancellous healing process and aid in their clinical evaluation and treatment to metaphysis cancellous bone fracture.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Earlier effect of alendronate in mouse metaphyseal versus diaphyseal bone healing.

Healing of injured cancellous bone is characterized by a transient stage of rapid bone formation throughout the traumatized bone volume, often followed by similarly rapid resorption. This is different from the slower diaphyseal healing via an external callus. We, therefore, hypothesized that antiresorptive treatment might have an earlier positive effect in cancellous bone healing than in diaphy...

متن کامل

Outcome of treatment of nonunion tibial shaft fracture by intramedullary interlocking nail augmentated with autogenous cancellous bone graft.

To assess results of operative treatment of non union fracture shaft of Tibia by intramedullary interlocking nail augmented with autogenous cancellous bone graft in our setup. A total of 25 nonunion tibial shaft fractures were evaluated among which 20 cases were male and 5 female with the mean age 31.84 years. Hypertrophic non-union were 14 and atrophic non union were 11. Upper one third of tib...

متن کامل

The effect of the presence of muscle tissue in a bone healing site.

PURPOSE The recovery of a bone fracture is a process that is not yet fully understood. The literature conflicts on the results obtained by the interposition of foreign tissue inside a damaged bone. The objective of the present study was to ascertain the effect of placing muscle tissue between the stumps of a fractured bone. METHOD The study was carried out on 10 rabbits divided into 2 groups ...

متن کامل

Inter-trabecular bone formation: a specific mechanism for healing of cancellous bone

Background and purpose - Studies of fracture healing have mainly dealt with shaft fractures, both experimentally and clinically. In contrast, most patients have metaphyseal fractures. There is an increasing awareness that metaphyseal fractures heal partly through mechanisms specific to cancellous bone. Several new models for the study of cancellous bone healing have recently been presented. Thi...

متن کامل

Results of surgical treatment of nonunion of humeral shaft fracture with dynamic compression plate and cancellous bone grafting

OBJECTIVE We evaluated the treatment of nonunion of humeral shaft fracture with dynamic compression plate from January 2002 to December 2009. METHODS Twenty-two patients were treated over the study period. Trauma was the predominant cause of injury in 86.4% of the patients. RESULTS Nonunion was atrophic in 81.8% and hypertrophic in 18.2% of the individuals. There was a primary injury of the...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • International journal of clinical and experimental medicine

دوره 8 1  شماره 

صفحات  -

تاریخ انتشار 2015