The Early Effects of Intramedullary Reaming of the Femur on Bone Mineral Density; an Experimental Study in Pigs
Background and Aims: Both fracture and fracture treatment affect bone mineral density (BMD). BMD after standard intramedullary reaming of the femoral cavity and after reaming with a reamer-irrigator-aspirator (RIA) system were studied with the hypothesis that the RIA technique would lead to lower BM...
Gespeichert in:
| Veröffentlicht in: | Scandinavian journal of surgery 2009-01, Vol.98 (3), p.189-194 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext bestellen |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 194 |
|---|---|
| container_issue | 3 |
| container_start_page | 189 |
| container_title | Scandinavian journal of surgery |
| container_volume | 98 |
| creator | Husebye, E. Ellingsen Lyberg, T. Madsen, J. E. Nordsletten, L. Røise, O. |
| description | Background and Aims:
Both fracture and fracture treatment affect bone mineral density (BMD). BMD after standard intramedullary reaming of the femoral cavity and after reaming with a reamer-irrigator-aspirator (RIA) system were studied with the hypothesis that the RIA technique would lead to lower BMD levels.
Material and Methods:
Dual-energy X-ray absorptiometry (DXA) was performed on the third day after operation with standard intramedullary nailing technique (n = 6)or RIA technique (n = 7) in intact femora of young Norwegian landrace pigs.
Results and conclusion:
Significantly lower BMD were found in the mid-shaft and total femur after reaming with the RIA technique compared to the non-operated femur. Traditional reaming technique resulted in significantly higher BMD in the distal femur.
Interpretation:
The results of this study indicate that standard reaming increased BMD in the distal femur, suggesting compressive effects on trabecular bone. The RIA technique decreased BMD in the femoral diaphysis and total femur, suggesting removal of trabecular bone. A possible clinical impact of the findings remains to be investigated. |
| doi_str_mv | 10.1177/145749690909800311 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_AFRWT</sourceid><recordid>TN_cdi_proquest_miscellaneous_734146973</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_145749690909800311</sage_id><sourcerecordid>734146973</sourcerecordid><originalsourceid>FETCH-LOGICAL-c342t-670eff6bba57c61e98095177ece256971b02ed1c646a6d640fa5cc4fcabee9d73</originalsourceid><addsrcrecordid>eNp9kE1LxDAQhoMoKrp_wIPk5qmapGli8OTH-gGKouu5pOlkrbTpmrTg_ntn2QUPgplABuaZl7wvIUecnXKu9RmXhZZGGYZ1zljO-RbZ59qYTAult7FHIFsRe2SS0ifDI40wQuySPW4MXqH2ST_7ADq1sV3SqffghkR7Tx_CEG0H9di2Ni7pK9iuCfPVZED8Frox0j7Qqz4AfWoCRNvSGwipGZYX1AY6_V5AbDoIAw7ehrFe0ibQl2aeDsmOt22CyeY9IO-309n1ffb4fPdwffmYuVyKIVOagfeqqmyhneKAFk2BtsGBKJTRvGICau6UVFbVSjJvC-ekd7YCMLXOD8jJWncR-68R0lB2TXKAfgL0Yyp1LrlEoRxJsSZd7FOK4MsFfh1tl5yVq6jLv1Hj0vFGfqwwp9-VTbAInK2BZOdQfvZjDGj3P8kf_aqG1A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>734146973</pqid></control><display><type>article</type><title>The Early Effects of Intramedullary Reaming of the Femur on Bone Mineral Density; an Experimental Study in Pigs</title><source>Sage Journals GOLD Open Access 2024</source><creator>Husebye, E. Ellingsen ; Lyberg, T. ; Madsen, J. E. ; Nordsletten, L. ; Røise, O.</creator><creatorcontrib>Husebye, E. Ellingsen ; Lyberg, T. ; Madsen, J. E. ; Nordsletten, L. ; Røise, O.</creatorcontrib><description>Background and Aims:
Both fracture and fracture treatment affect bone mineral density (BMD). BMD after standard intramedullary reaming of the femoral cavity and after reaming with a reamer-irrigator-aspirator (RIA) system were studied with the hypothesis that the RIA technique would lead to lower BMD levels.
Material and Methods:
Dual-energy X-ray absorptiometry (DXA) was performed on the third day after operation with standard intramedullary nailing technique (n = 6)or RIA technique (n = 7) in intact femora of young Norwegian landrace pigs.
Results and conclusion:
Significantly lower BMD were found in the mid-shaft and total femur after reaming with the RIA technique compared to the non-operated femur. Traditional reaming technique resulted in significantly higher BMD in the distal femur.
Interpretation:
The results of this study indicate that standard reaming increased BMD in the distal femur, suggesting compressive effects on trabecular bone. The RIA technique decreased BMD in the femoral diaphysis and total femur, suggesting removal of trabecular bone. A possible clinical impact of the findings remains to be investigated.</description><identifier>ISSN: 1457-4969</identifier><identifier>EISSN: 1799-7267</identifier><identifier>DOI: 10.1177/145749690909800311</identifier><identifier>PMID: 19919926</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Absorptiometry, Photon ; Animals ; Bone Density ; Femur - diagnostic imaging ; Femur - physiology ; Femur - surgery ; Fracture Fixation, Intramedullary - methods ; Fracture Healing - physiology ; Stress, Mechanical ; Suction ; Swine ; Therapeutic Irrigation ; Time Factors</subject><ispartof>Scandinavian journal of surgery, 2009-01, Vol.98 (3), p.189-194</ispartof><rights>2009 Finnish Society of Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c342t-670eff6bba57c61e98095177ece256971b02ed1c646a6d640fa5cc4fcabee9d73</citedby><cites>FETCH-LOGICAL-c342t-670eff6bba57c61e98095177ece256971b02ed1c646a6d640fa5cc4fcabee9d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/145749690909800311$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/145749690909800311$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,21945,27830,27901,27902,43597,43598,44921,45309</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/145749690909800311?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19919926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Husebye, E. Ellingsen</creatorcontrib><creatorcontrib>Lyberg, T.</creatorcontrib><creatorcontrib>Madsen, J. E.</creatorcontrib><creatorcontrib>Nordsletten, L.</creatorcontrib><creatorcontrib>Røise, O.</creatorcontrib><title>The Early Effects of Intramedullary Reaming of the Femur on Bone Mineral Density; an Experimental Study in Pigs</title><title>Scandinavian journal of surgery</title><addtitle>Scand J Surg</addtitle><description>Background and Aims:
Both fracture and fracture treatment affect bone mineral density (BMD). BMD after standard intramedullary reaming of the femoral cavity and after reaming with a reamer-irrigator-aspirator (RIA) system were studied with the hypothesis that the RIA technique would lead to lower BMD levels.
Material and Methods:
Dual-energy X-ray absorptiometry (DXA) was performed on the third day after operation with standard intramedullary nailing technique (n = 6)or RIA technique (n = 7) in intact femora of young Norwegian landrace pigs.
Results and conclusion:
Significantly lower BMD were found in the mid-shaft and total femur after reaming with the RIA technique compared to the non-operated femur. Traditional reaming technique resulted in significantly higher BMD in the distal femur.
Interpretation:
The results of this study indicate that standard reaming increased BMD in the distal femur, suggesting compressive effects on trabecular bone. The RIA technique decreased BMD in the femoral diaphysis and total femur, suggesting removal of trabecular bone. A possible clinical impact of the findings remains to be investigated.</description><subject>Absorptiometry, Photon</subject><subject>Animals</subject><subject>Bone Density</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - physiology</subject><subject>Femur - surgery</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Fracture Healing - physiology</subject><subject>Stress, Mechanical</subject><subject>Suction</subject><subject>Swine</subject><subject>Therapeutic Irrigation</subject><subject>Time Factors</subject><issn>1457-4969</issn><issn>1799-7267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMoKrp_wIPk5qmapGli8OTH-gGKouu5pOlkrbTpmrTg_ntn2QUPgplABuaZl7wvIUecnXKu9RmXhZZGGYZ1zljO-RbZ59qYTAult7FHIFsRe2SS0ifDI40wQuySPW4MXqH2ST_7ADq1sV3SqffghkR7Tx_CEG0H9di2Ni7pK9iuCfPVZED8Frox0j7Qqz4AfWoCRNvSGwipGZYX1AY6_V5AbDoIAw7ehrFe0ibQl2aeDsmOt22CyeY9IO-309n1ffb4fPdwffmYuVyKIVOagfeqqmyhneKAFk2BtsGBKJTRvGICau6UVFbVSjJvC-ekd7YCMLXOD8jJWncR-68R0lB2TXKAfgL0Yyp1LrlEoRxJsSZd7FOK4MsFfh1tl5yVq6jLv1Hj0vFGfqwwp9-VTbAInK2BZOdQfvZjDGj3P8kf_aqG1A</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Husebye, E. Ellingsen</creator><creator>Lyberg, T.</creator><creator>Madsen, J. E.</creator><creator>Nordsletten, L.</creator><creator>Røise, O.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>The Early Effects of Intramedullary Reaming of the Femur on Bone Mineral Density; an Experimental Study in Pigs</title><author>Husebye, E. Ellingsen ; Lyberg, T. ; Madsen, J. E. ; Nordsletten, L. ; Røise, O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-670eff6bba57c61e98095177ece256971b02ed1c646a6d640fa5cc4fcabee9d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Absorptiometry, Photon</topic><topic>Animals</topic><topic>Bone Density</topic><topic>Femur - diagnostic imaging</topic><topic>Femur - physiology</topic><topic>Femur - surgery</topic><topic>Fracture Fixation, Intramedullary - methods</topic><topic>Fracture Healing - physiology</topic><topic>Stress, Mechanical</topic><topic>Suction</topic><topic>Swine</topic><topic>Therapeutic Irrigation</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Husebye, E. Ellingsen</creatorcontrib><creatorcontrib>Lyberg, T.</creatorcontrib><creatorcontrib>Madsen, J. E.</creatorcontrib><creatorcontrib>Nordsletten, L.</creatorcontrib><creatorcontrib>Røise, O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Husebye, E. Ellingsen</au><au>Lyberg, T.</au><au>Madsen, J. E.</au><au>Nordsletten, L.</au><au>Røise, O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Early Effects of Intramedullary Reaming of the Femur on Bone Mineral Density; an Experimental Study in Pigs</atitle><jtitle>Scandinavian journal of surgery</jtitle><addtitle>Scand J Surg</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>98</volume><issue>3</issue><spage>189</spage><epage>194</epage><pages>189-194</pages><issn>1457-4969</issn><eissn>1799-7267</eissn><abstract>Background and Aims:
Both fracture and fracture treatment affect bone mineral density (BMD). BMD after standard intramedullary reaming of the femoral cavity and after reaming with a reamer-irrigator-aspirator (RIA) system were studied with the hypothesis that the RIA technique would lead to lower BMD levels.
Material and Methods:
Dual-energy X-ray absorptiometry (DXA) was performed on the third day after operation with standard intramedullary nailing technique (n = 6)or RIA technique (n = 7) in intact femora of young Norwegian landrace pigs.
Results and conclusion:
Significantly lower BMD were found in the mid-shaft and total femur after reaming with the RIA technique compared to the non-operated femur. Traditional reaming technique resulted in significantly higher BMD in the distal femur.
Interpretation:
The results of this study indicate that standard reaming increased BMD in the distal femur, suggesting compressive effects on trabecular bone. The RIA technique decreased BMD in the femoral diaphysis and total femur, suggesting removal of trabecular bone. A possible clinical impact of the findings remains to be investigated.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>19919926</pmid><doi>10.1177/145749690909800311</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext_linktorsrc |
| identifier | ISSN: 1457-4969 |
| ispartof | Scandinavian journal of surgery, 2009-01, Vol.98 (3), p.189-194 |
| issn | 1457-4969 1799-7267 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_734146973 |
| source | Sage Journals GOLD Open Access 2024 |
| subjects | Absorptiometry, Photon Animals Bone Density Femur - diagnostic imaging Femur - physiology Femur - surgery Fracture Fixation, Intramedullary - methods Fracture Healing - physiology Stress, Mechanical Suction Swine Therapeutic Irrigation Time Factors |
| title | The Early Effects of Intramedullary Reaming of the Femur on Bone Mineral Density; an Experimental Study in Pigs |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T22%3A34%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_AFRWT&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Early%20Effects%20of%20Intramedullary%20Reaming%20of%20the%20Femur%20on%20Bone%20Mineral%20Density;%20an%20Experimental%20Study%20in%20Pigs&rft.jtitle=Scandinavian%20journal%20of%20surgery&rft.au=Husebye,%20E.%20Ellingsen&rft.date=2009-01-01&rft.volume=98&rft.issue=3&rft.spage=189&rft.epage=194&rft.pages=189-194&rft.issn=1457-4969&rft.eissn=1799-7267&rft_id=info:doi/10.1177/145749690909800311&rft_dat=%3Cproquest_AFRWT%3E734146973%3C/proquest_AFRWT%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=734146973&rft_id=info:pmid/19919926&rft_sage_id=10.1177_145749690909800311&rfr_iscdi=true |