Summary
Stepwise distraction of the rabbit tibia after a transverse diaphyseal osteotomy was performed in an external fixator. The goal was to clarify the fine-structural parameters of long-bone lengthening. The tibias were vertically cut and studied 5 weeks after the osteotomy, and the specimens with an initial gap without further lengthening were compared with those with a gap and stepwise distraction. The role of periosteal bone induction was essential for the ossification of a growing gap, whereas the ossification of a simple gap proceeded equally by the endosteal and periosteal routes. The distraction resulted in vertical organization of the premature callus tissue at the proximal pole of the distracted gap, while the distal part of the gap area was deficiently filled by endosteal bone but preliminarily fixed by a bridge of periosteal callus tissue.
Similar content being viewed by others
References
Alho A, Bang G, Karaharju E, Armond I (1982) Filling of a bone defect during experimental osteotaxis distraction. Acta Orthop Scand 53:29–34
Anderson WV (1952) Leg lengthening. In: Proceedings of the British Orthopaedics Association. J Bone Joint Surg [Br] 34:150
Chan KP, Hodgson AR (1970) Physiologic leg lengthening. Clin Orthop 68:55–62
Coleman SS (1985) Simultaneous femoral and tibial lengthening for limb length discrepancies. Arch Orthop Trauma Surg 103:359–366
Gross RH (1971) An evaluation of tibial lengthening procedures. J Bone Joint Surg [Am] 53:693–700
Kawamura B, Hosono S, Takahashi T (1981) The principles and technique of limb lengthening. Int Orthop 5:69–83 ]
Kawamura B, Hosono S, Takahashi T, Yano T, Kobayashi Y, Shibata N, Shinoda Y (1968) Limb lengthening by means of a subcutaneous osteotomy. J Bone Joint Surg [Am] 50:851–963
Kenwright J, Bentley G, Morgan JD (1970) Leg lengthening. Acta Orthop Scand 41:454–475
McKibbin B (1985) The effect of surgical intervention on the fracture healing process. In: Proceedings of an Advanced Course by European Forum for Orthopaedic Science (EFOS). Otto Falch, Oslo, pp 11–16
Mölster A, Gjerdet NR, Raugstad TS, Hvidsten K, Alho A, Bang G (1982) Effect of instability on experimental fracture healing. Acta Orthop Scand 53:521–526
Paavolainen P, Karaharju E, Slätis P, Ahonen J, Holmström T (1978) Effect of rigid plate fixation on structure and minimal content of cortical bone. Clin Orthop 136:287–293
Paavolainen P, Slätis P, Karaharju E, Holmström T (1979) The healing of experimental fractures by compression osteosynthesis. Acta Orthop Scand 50:369–374
Rahn B, Gallinaro P, Baltensperger A, Perren S (1971) Primary bone healing. An experimental study in the rabbit. J Bone Joint Surg [Am] 53:783–786
Schenk RK (1977) Histologie der Frakturenheilung and der Pseudarthrosen. AO Bulletin, Bern, November
Terjesen T (1984) Bone healing after metal plate fixation of the osteotomized rabbit tibia. Acta Orthop Scand 55:69–77
Westin W (1967) Femoral lengthening using a periosteal sleeve. J Bone Joint Surg [Am] 49:836–875
Woo SL-Y (1985) The history and development of less rigid plates - material considerations. In: Proceedings of an Advanced Course by European Forum for Orthopaedic Science (EFOS). Otto Falch, Oslo, pp 17–26
Woo SL-Y, Akeson WH, Courts RD, Rutherford L, Doty D, Jemott GF, Amiel D (1976) A comparison of cortical bone atrophy secondary to fixation with plates with large differences in bending stiffness. J Bone Joint Surg [Am] 58:190–195
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Korkala, O., Karaharju, E., Grönblad, M. et al. Experimental lengthening of tibial diaphysis: Gap healing with or without gradual distraction. Arch. Orth. Traum. Surg. 107, 172–175 (1988). https://doi.org/10.1007/BF00451597
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00451597