[Clinical aspects of disturbed fracture healing on the tibial shaft with special reference to fragment necrosis].
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Biomedical subjects
Publications and source records attributed to F Klapp.
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Relative tension of the anteromedial part of the anterior cruciate ligament of five cadaver knees is measured. The ligament is taut at 80 degrees - 90 degrees flexion and loosened to a maximum at 30 degrees and 130 degrees flexion. On internal rotation it is taut at each stage of flexion, on external rotation, only at full extension and full flexion.
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In 6 adult mongrel dogs hypertrophic pseudarthroses in the radius were produced. The pseudarthroses were stabilized by compression plate osteosynthesis. The changes in the pattern of vascularization in pseudarthroses under stabilization were studied by means of microangiography. The interfragmental gap revascularization started early and came from medullary vessels of both fragments. Vessel anastomoses in interfragmental areas were observed. With time, medullary and periosteal hypervascularization were reduced. However, the hypervascularization in the remodeled corticalis was still evident after 3 months.
In 10 adult mongrel dogs isolated cortical fragments of the diaphysis of the radius were reimplanted and stabilized by encircling wires. The changes in the pattern of vascularization and the revitalization of the avascular fragment were investigated by microangiography. The revascularization arose from the medullary vessels that penetrated the avascular fragment. The fracture gap was bridged by intracortical anastomoses. After 6 weeks fracture healing was noted and the vessels showed a restoration of the physiologic pattern of vascularization.
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