A comparison of the effect of open intramedullary nailing and compression-plate fixation on fracture-site blood flow and fracture union

J. A. Rand, K. Nan An, E. Y.S. Chao, P. J. Kelly

Research output: Contribution to journalArticlepeer-review

109 Citations (Scopus)

Abstract

We compared the effects of compression-plating and open intramedullary nailing after reaming on the vascular supply to a standard fracture site, on the rate of fracture union, and on the biomechanical quality of bone after union in dogs. The proper location of a compression plate in relation to the periosteum also was investigated. Bone blood flow reached higher levels and remained elevated longer in fractures that were fixed with a rod than in those fixed with plate. Rod-fixed fractures healed by periosteal callus, whereas, plate-fixed fractures healed by endosteal callus. The fracture gained mechanical strength more slowly in the rod-fixed group than in the plate-fixed group. Subperiosteal or extraperiosteal placement of a plate revealed similar effects on bone-healing.

Original languageEnglish
Pages (from-to)427-442
Number of pages16
JournalJournal of Bone and Joint Surgery - Series A
Volume63
Issue number3
DOIs
Publication statusPublished - 1981

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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