• K Lippuner, R Vogel, S Tepic, B A Rahn, J Cordey, and S M Perren.
• Laboratory for Experimental Surgery, AO/ASIF Research Center, Davos, Switzerland.
• Arch Orthop Trauma Surg. 1992 Jan 1; 111 (2): 78-84.

AbstractPlates used for fracture fixation produce vascular injury to the underlying cortical bone. During the recovery of the blood supply, temporary osteoporosis is observed as a result of Haversian remodeling of the necrotic bone. This process temporarily reduces the strength of the bone. We tackled the postulate that quantitative differences exist between animal species, and in different bones within the same species, due to variations in the relative importance of the endosteal and periosteal blood supplies. Using implants scaled to the size of the bone, we found comparable cortical vascular damage in the sheep and in the dog, and in the tibia and femur of each animal. We observed a significant reduction in cortical vascular damage using plates that had a smaller contact area with the underlying bone. No significant difference in cortical vascular damage was noted in animals of different ages.

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