Ultrasound for the early diagnosis of tibial fracture healing after static interlocked nailing without reaming: histologic correlation using a canine model
| Autor: | Berton R. Moed, Joseph G. Craig, Bouffard Ja, van Holsbeeck M, Schaffler Mb, S Subramanian, Kim Ec |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
Time Factors Radiography law.invention Intramedullary rod Dogs law Biopsy medicine Animals Orthopedics and Sports Medicine Tibia Tibial fracture Bony Callus Ultrasonography Fracture Healing medicine.diagnostic_test business.industry Ultrasound Biopsy Needle General Medicine Surgery Fracture Fixation Intramedullary Tibial Fractures Radiology business Canine model Histological correlation |
| Zdroj: | Journal of orthopaedic trauma. 12(3) |
| ISSN: | 0890-5339 |
| Popis: | Objective: Ultrasound is thought to be clinically useful in evaluating bone formation through its presumed identification of fracture callus. However, documentation of the actual histology of the tissue identified by ultrasound has been lacking. The purpose of this study was to determine the histologic composition of the hyperechoic tissue seen by ultrasound. Study Design: Unilateral fractures were created in eight canine tibias and then fixed by using locked intramedullary nailing without reaming. The limbs were studied at two, three, four, six, and eight weeks postoperatively with plain radiographs, ultrasound, and ultrasound-directed needle biopsy. Results: The presence of a hyperechoic ultrasound signal was found to have a 100 percent correlation with the presence of hard fracture callus biopsy tissue. In addition, fracture union by ultrasound criteria significantly predated radiographic fracture union (5.6 vs. 7.3 weeks, p = 0.05). Conclusions: These results support and provide a scientific basis for the clinical use of ultrasound to assess tibial fracture healing following static interlocked nailing without reaming. |
| Databáze: | OpenAIRE |
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