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Experimental study in rat metatarsals to determine whether callus vascularity is an indicator of the mechanical strength of healing fractures
Institution:1. Department of Orthopedics Surgery, Vanderbilt University Medical Center, Nashville, TN, USA;2. Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN, USA;3. Department of Neurological Surgery, Carolina Neurosurgery and Spine Associates, Charlotte, NC, USA
Abstract:Changes in the mechanical properties and percentage area of blood vessels of healing fracture callus were followed using rat metatarsals. By 24 weeks after fracture the mean ultimate tensile stress and elastic modulus were still less than half that of the contralateral unfractured bone, whereas the mean torsional modulus had almost reached that of the unfractured bone. The percentage area of blood vessels declined from five days post-fracture and showed no changes which coincided with the increases in mechanical strength or moduli. We conclude that studies of vascularity would not justify a prediction of the strength of a healing fracture.
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