Bone Circulation and Bone Necrosis: Proceedings of the Ivth International Symposium on Bone Circulation, Toulouse (France), 17th-19th September 1987

ISBN-13: 9783642736469 / Angielski / Miękka / 2011 / 406 str.

Jacques Arlet; Bernard Mazieres

Opis

The topic of bone circulation is relatively new and has developed very quickly in the past 20 years; this book reports on the most recent progress since 1982. The chapters discuss the anatomy of bone vascularization, the physiology of vascular regulation, the histopathology of microcirculation and osteonecrosis, experimental studies on bone-blood flow, experimental surgery, methods of exploration, vascular studies of grafts and bone transfer, and surgical and conservative treatment. New developments are given on blood-bone barrier, effect of PGE2 on blood-bone flow, laser Doppler flowmetry, microcirculation and demineralization, vascular repair in osteotomy and fracture, bone arteriography, angioscintigraphy, Ilizarov's technique, and therapeutic aspects of lipid-clearing agents.

Spis treści

Section I: Basic Research.- 1: Vascularization.- The Periosteal Contribution to Diaphyseal Blood Supply.- The Routes of Venous Escape from the Marrow of the Diaphysis of Long Bones.- Vascularization of Osteochondral Junctions of Joints and Spine.- Ischaemic Coxopathies: Function of the Osteochondral Junction.- The Blood Supply of the Patella in the Aged.- A Multicapillary Distributed Model of Blood-Bone Exchange to Analyse Multiple Tracer Outflow Dilution Data.- Is There A Blood-Bone Barrier?.- 2: Regulation.- The Central Venous Sinus of Long Bones — Its Role in Relation to Exercise.- The Effects of Noradrenaline on Perfusion Pressure and Capillary Permeability-Surface Area Product in the Canine Tibia.- Dose-Dependent Reduction of Bone Blood Flow and 85Sr Clearance Caused by Prostaglandin E2.- Effects of Parotin on Long Bone Structure and Vascularization.- Effects of Parotin Gland Ablation on Experimental Fracture: Callus and Its Microvascular Modifications.- Effects of Submaxillary Gland Ablation on Experimental Fracture: Callus and Its Microvascular Modifications.- Section II: Histopathological Studies.- Bone Marrow Microcirculation in Primary Osteoporosis, Aplastic Anaemia, and Old Age.- Pathology of Bone Marrow Distant from the Sequestrum in Nontraumatic, Aseptic Necrosis of the Femoral Head.- Intramedullary Haemorrhage as a Possible Cause of Avascular Necrosis of the Femoral Head — The Histology of 16 Core Biopsy Specimens at the Silent Stage.- A Microangiographic Study of Avascular Necrosis of the Femoral Head.- Bone Circulation in the Development of the Degenerative Bone Cyst.- Avascular Necrosis and the Blood Supply of the Femoral Head.- What Becomes the Tunnel of Core Biopsy in Patients Treated for Osteonecrosis of the Femoral Head?.- Intravertebral Vacuum Cleft and Ischemic Collapse of the Vertebral Body.- Section III: Experimental Studies.- 1: Bone Blood Flow.- A New Method of Measuring Blood Flow Distribution in Bone.- The Pattern of Distribution of Blood Flow in Dog Limb Bones Measured Using Microspheres.- The Non-Entrapment of Microspheres Used for Measuring Blood Flow in the Dog Tibia.- Correlation of Laser Doppler Flowmetry with Microsphere Estimates for Bone Blood Flow.- Long-Term Sequential Measurements of Bone Blood Flow Within a Single Animal by the Hydrogen Washout Method.- Assessment of Blood Flow in the Canine Tibial Diaphysis Using the Microsphere Technique.- Changes in Femoral Head Blood Flow Associated with Exposure to Compressed Air.- Total and Segmental Blood Flow of the Femoral Head Epiphysis in Coxitis at Rest and During Exercise.- Bone Demineralization and Increased Bone Blood Flow in the Rat.- Anemia, But Not Stimulation of Erythropoiesis Without Anemia, Increases Bone and Bone Marrow Blood Flow in the Rat.- The Effect of Femoral Neck Fracture on Femoral Head Blood Flow.- 2: Experimental Surgery.- Experimental Pseudarthrosis in Dogs: Vascular Pathogenesis and Cellular Evolution.- Circulatory and Morphological Effects of Noncemented and Cemented Hip Alloplasty. An Experimental Study in Rabbits.- Alterations in 85Sr Clearance in the Intact Canine Femur Following Long-Term Plate Fixation.- Angiogenesis in Early Fracture Repair.- Microsphere Estimation of Bone Blood Flow in the Osteotomised Canine Tibia and the Role of the Tibial Nutrient Artery.- Regional Fracture Site Blood Flow Following Compression Plate Intramedullary Rod and External Fixation.- Blood Flow in Experimental Epiphyseal Plate Fractures in the Dog.- The Vascular Repair of an Experimental Osteotomy: The Effect of Separation, Reduction and Compression of the Bone Fragments.- Ischemic Vascular Disease of Post-Traumatic Bone Sepsis.- 3: Miscellaneous.- Experimental Investigation of the Circulation of the Femoral Head Using a Combined Method of Intraosseous Thermometry and Phlebography.- Effect of Joint Effusion on Subchondral Bone Circulation.- Experimental Bone Marrow Alterations Following Single and Multiple High-Dose Steroids in Rabbits.- Section IV: Explorations.- 1: Scintigraphy.- The Use of Three-Phase Radionuclide Bone Scan After Limb Surgery.- Bone Angioscintigraphy in Nontraumatic Osteonecrosis of the Femoral Head.- Dynamic Versus Static Joint Scintimetry in Juvenile Arthritis: An Experimental Study in Dogs.- A Physiopathological Approach to Reflex Sympathetic Dystrophy of the Upper Limb in Hemiplegia by Three-Phase Bone Scintigraphy.- Early Bone Tracer Inflow Curves Cannot Be Used for Staging of Reflex Sympathetic Dystrophy.- Microcirculatory Disorders and Dystrophic Syndrome.- The Value of Bone Scan in Legg-Calvé-Perthes Disease.- 2: Bone Marrow Pressure.- Intraosseous Engorgement-Pain Syndromes. The Pathomechanism of Pain.- Bone Marrow Pressure in the Proximal Femur Following Subcapital Fracture of the Femoral Neck.- Assessment of Intramedullary Pressure Versus Bone Scintigraphy in the Diagnosis of Osteonecrosis of Femoral Head.- Study of Intraosseous Changes in Seven Patients with Stress Fracture.- Hydraulic Resistance: A Measure of Outflow Resistance in Osteonecrosis.- 3: Magnetic Resonance Imaging.- Nuclear Magnetic Resonance Imaging in Femoral Head Osteonecrosis.- Early Diagnosis of Avascular Necrosis by Magnetic Resonance Imaging.- Classification of Osteonecrosis in Precollapse Stages by Magnetic Resonance Imaging.- Magnetic Resonance Imaging for Diagnosis of Nontraumatic Osteonecrosis of the Femoral Head: Preliminary Data.- 4: Arteriography.- Impairment of the Hemodynamics and Revascularization in Perthes’ Disease.- Arteriography in Avascular Necrosis of the Femoral Head.- Microcirculatory Exploration of the Femoral Head Using Radioactive Microspheres.- Vascular Changes of Idiopathic Necrosis of the Femoral Head.- 5: Others.- Viscosity of the Blood in Nontraumatic Femoral Head Osteonecrosis.- Intraoperative Bone Blood Flow Measurement in Patients with Femoral Head Osteonecrosis.- Two Unusual Cases of Osteonecrosis.- The Relative Importance of Various Risk Factors In Determining Site and Number of Bones Involved with Osteonecrosis.- Section V: Treatment.- 1: Surgery.- Spontaneous Osteonecrosis of the Knee. Results of Treatment by High Tibial Osteotomy and Unicompartmental Arthroplasty.- Management of Idiopathic Osteonecrosis of the Medial Femoral Condyle.- Histomorphometry of Free Cortical Bone Autograft Incorporation. Comparison Between Autografted and Allografted Segmental Cortical Bone.- A Cementless Femoral Stem Designed for Fixation in Living Cortical and Cancellous Bone.- Reconstruction in Avascular Necrosis of the Spheric Geometrical Shape of the Femoral Head with Acrylic Cement.- 2: Grafts.- Revascularisation of Massive Allografts: Bone Scintigraphy, Macroscopic and Microscopic Observations, Mechanical Effects of Revascularisation.- Reconstruction of “On-Lay” Grafts Used for the Fusion of Shaft Fractures.- Morphological Aspects of Bone Regeneration in Cortical Bone Lengthening Using Ilizarov’s Technique.- Neovascularization of 2-mm Allograft Discs: A Preliminary Intravital Microscope Bone Chamber Study in the Rabbit.- Bone Remodeling of Vascularized Bone Graft.- A Human Massive Vascularized Allograft of Femoral Shaft.- Treatment of Ischaemic Necrosis of the Femoral Head with a Ventral Muscle Pedicle Graft.- Reliability of the Bone Scintigraphy to Assess the Survival of Free Bone Transfers: Limitations of the Method.- 3: Medical Treatments.- Adjuvant Thermotherapy in the Treatment of Fractures. Preliminary Report.- Improvement of Femoral Head Blood Flow in Steroid-Treated Rabbits Using Lipid-Clearing Agents.- Modification of Fatty Accumulation Within the Osteocyte in Steroid-Treated Rabbits Using Lipid-Clearing Agents.- The Effect of I.V. Injection of Naftidrofuryl (Praxilene) on Intramedullary Pressure in Patients with Osteonecrosis of the Femoral Head.