FRACTURE HEALING AFTER FIXATION WITH STANDARD PLATES CONTACT SPLINTS, AND MEDULLARY NAILS
- 1 June 1954
- journal article
- research article
- Published by Wolters Kluwer Health in Journal of Bone and Joint Surgery
- Vol. 36 (3), 577-616
- https://doi.org/10.2106/00004623-195436030-00013
Abstract
When infection occurred, the fractures failed to unite and, within the time limits of this experiment, the picture presented was essentially the same regardless of the type of fixation used. In clean wounds in Group I, progress of union was about the same with both types of plates, with a slight advantage in favor of the Eggers plate. Although accurate measurements were not used, we did not see evidence of the fragments sliding on the plates after the callus had formed. With clean wounds in the second part of the experiment, progress of the union was ahead on the side treated with the Eggers plate except in those animals in which the nail fitted snugly and in these it was in favor of the nail. We do not feel that the medullary nail delays union, but rather that lack of fixation due to a poorly fitting nail may delay union. Within the scope of this experiment it appears that fixation and apposition of the fractured fragments are more important in obtaininig union than the pressure of weight-bearing.This publication has 2 references indexed in Scilit:
- THE EFFECTS OF KNOWN COMPRESSION FORCES ON FRACTURE HEALING1952
- The Influence of the Contact-Compression Factor on Osteogenesis in Surgical FracturesJournal of Bone and Joint Surgery, 1949