Clinical trials

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    Injury ; 52 Suppl 1: S3-S6, Mar. METHODS: Concomitant perfusion changes were determined in the anterolateral and anteromedial periosteal sheath of the non-united bone ends and intramedullary nearest the osteosynthesis materials during their surgical removal on re-operation.

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    The blood flow in the periosteum and endosteum was recorded by a laser-Doppler flowmetric device using a novel approach. Control measurements were made at identical points of the right tibia. RESULTS: Considerably lower blood flow values were measured along the tibial periosteal region of the re-operated limb than on the contralateral side the average perfusion unit PU was 76 vs.

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    Perfusion values were markedly lower in the endosteal region average values of approx. Our results highlight the association between local perfusion failure and the unfavorable outcome i.

    Microcirculatory measurements constitute a new area of improvement in planning the adequate treatment for fracture non-unions with an unclear aetiology.

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    Further refinement of the laser-Doppler technique could have potential benefits for bone surgery and postoperative trauma care in the future.