The effect of increasing gap width on localized densitometric changes within tibial ostectomies in a canine model

作者: M. D. Markel , J. J. Bogdanske

DOI: 10.1007/BF00296067

关键词: Nuclear medicineBone healingDual-energy X-ray absorptiometryBone mineralCortical boneOrthopedic surgeryDensitometryTibiaOstectomyMedicineAnatomy

摘要: Dual-energy X-ray absorptiometry (DXA) was used to quantitate the localized densitometric changes that occur early (0–16 weeks) in a tibial ostectomy model of three different gap widths 15 dogs. Dogs were divided into equal groups. A 5-mm (group 1), 15-mm 2), or 25-mm 3) unilateral performed and stabilized with external skeletal fixator each dog. DXA tissue at 0, 14, 30, 60, 90, 120 days after surgery. Regions interest (ROIs) included entire (groups 1, 2, ROIs within defined distance from proximal distal cortical bone ends: 0–2.5 mm 3); 2.5–5.0 3), 5.0–7.5 7.5–10.0 10.0–12.5 3). Bone mineral density (BMD) significantly changed over time all groups (P<0.0001). The BMD increased 4-month study period reached normal middiaphysial by 90 also surgery but plateau ∼0.45 g/cm2 (48% middiaphyseal BMD) 60 small extent during first 30 then gradually decreased period. Overall, had highest BMD, followed

参考文章(21)
D G Lewallen, E Y Chao, R A Kasman, P J Kelly, Comparison of the effects of compression plates and external fixators on early bone-healing. Journal of Bone and Joint Surgery, American Volume. ,vol. 66, pp. 1084- 1091 ,(1984) , 10.2106/00004623-198466070-00016
J A Rand, K N An, E Y Chao, P J Kelly, A comparison of the effect of open intramedullary nailing and compression-plate fixation on fracture-site blood flow and fracture union. Journal of Bone and Joint Surgery, American Volume. ,vol. 63, pp. 427- 442 ,(1981) , 10.2106/00004623-198163030-00018
Patrick Ammann, René Rizzoli, Daniel Slosman, Jean-Philippe Bonjour, Sequential and precise in vivo measurement of bone mineral density in rats using dual-energy x-ray absorptiometry. Journal of Bone and Mineral Research. ,vol. 7, pp. 311- 316 ,(2009) , 10.1002/JBMR.5650070310
Richard Mazess, Charles H. Chesnut, Michael McClung, Harry Genant, Enhanced precision with dual-energy x-ray absorptiometry Calcified Tissue International. ,vol. 51, pp. 14- 17 ,(1992) , 10.1007/BF00296209
R. Mosheiff, B.Y. Klein, I. Leichter, G. Chaimsky, A. Nyska, A. Peyser, D. Segal, Use of dual-energy X-ray absorptiometry (DEXA) to follow mineral content changes in small ceramic implants in rats. Biomaterials. ,vol. 13, pp. 462- 466 ,(1992) , 10.1016/0142-9612(92)90167-M
H. M. FROST, The biology of fracture healing. An overview for clinicians. Part I. Clinical Orthopaedics and Related Research. ,vol. 248, pp. 283- 293 ,(1989) , 10.1097/00003086-198911000-00045
Richard B. Mazess, Joel A. Trempe, Joseph P. Bisek, James A. Hanson, Didier Hans, Calibration of dual-energy X-ray absorptiometry for bone density Journal of Bone and Mineral Research. ,vol. 6, pp. 799- 806 ,(2009) , 10.1002/JBMR.5650060804
F. M. ULIVIERI, E. BOSSI, R. AZZONI, C. RONZANI, C. TREVISAN, A. MONTESANO, S. ORTOLANI, Quantification by dual photonabsorptiometry of local bone loss after fracture. Clinical Orthopaedics and Related Research. pp. 291- 296 ,(1990) , 10.1097/00003086-199001000-00038
ANDERS Hulth, Current concepts of fracture healing. Clinical Orthopaedics and Related Research. ,vol. 1989, pp. 265- 284 ,(1989) , 10.1097/00003086-198912000-00028
T.L. Kelly, D.M. Slovik, Robert M. Neer, Calibration and standardization of bone mineral densitometers. Journal of Bone and Mineral Research. ,vol. 4, pp. 663- 669 ,(2009) , 10.1002/JBMR.5650040504