Morphogenesis and Pathogenesis of Traumatic Infarction of Long Bone (experimental 13 studay)

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Morphogenesis and pathogenesis of traumatic infarction of long bone was studied in experiment (45 rats and 8 dogs). Tibial osteotomy with section of great branches of the main nutritive arteria were performed. Morphogenic indices of pathologic changes were studied in terms from 3 hours to 60 days and physiologic indices of intraosseous hemodynamics were studied in terms from 10 min to 8 hours During the first hours after osteotomy extensive loci of blood supply occulusion of bone marrow and diaphysial cortex were detected in free fragment ends. Then those loci were transformed into diaphysial infarction. Occulusion loci increased up to the end of the first day after osteotomy, then they started to decrease. Infarctions in distal fragment were reliably more extensive than the infarctions in proximal fragment. Physiologic indices testified severe blood supply aggravation in free distal fragment end.

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V. Grigorovskiy

Ukrainian Institute of Traumatology and Orthopaedics

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Email: info@eco-vector.com
乌克兰, Kiev

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2. Fig. 1. Extensive foci of microcirculatory disconnection of the bone marrow and cortical layer (indicated by arrows) in the proximal tibia of the rat. Duration of observation was 12 h. Mp. 20.

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3. Fig. 2. Capillary ingrowth into the focus of bone marrow necrosis (arrows) in the proximal tibial fracture of the rat. Observation period 7 days. Mp. 25.

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4. Fig. 3. Ongoing revascularization of bone marrow necrosis foci (indicated by arrows) in rat tibial bone fragments. Observation period 14 days. Mp. 15.

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5. Fig. 4. Vascularisation of the rat tibial cartilage regenerate; avascularised area of the compact bone of the distal segment (indicated by arrow). Follow-up period 30 days. Mp. 15.

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6. Fig. 5. Dynamics of morphometric indicators of pathological changes in the proximal (a) and distal (b) tibial fragments of rats after osteotomy.

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7. Fig. 6. Dynamics of physiological indicators of intraosseous blood flow in the proximal (a) and distal (b) tibial fragments of dogs after osteotomy.

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