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

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. Front Matter....Pages I-XXXIII Front Matter....Pages 1-1 The Periosteal Contribution to Diaphyseal Blood Supply....Pages 3-6 The Routes of Venous Escape from the Marrow of the Diaphysis of Long Bones....Pages 7-10 Vascularization of Osteochondral Junctions of Joints and Spine....Pages 11-15 Ischaemic Coxopathies: Function of the Osteochondral Junction....Pages 16-19 The Blood Supply of the Patella in the Aged....Pages 20-25 A Multicapillary Distributed Model of Blood-Bone Exchange to Analyse Multiple Tracer Outflow Dilution Data....Pages 26-29 Is There A Blood-Bone Barrier?....Pages 30-33 The Central Venous Sinus of Long Bones -Its Role in Relation to Exercise....Pages 35-39 The Effects of Noradrenaline on Perfusion Pressure and Capillary Permeability-Surface Area Product in the Canine Tibia....Pages 40-42 Dose-Dependent Reduction of Bone Blood Flow and 85 Sr Clearance Caused by Prostaglandin E 2 ....Pages 43-46 Effects of Parotin on Long Bone Structure and Vascularization....Pages 47-52 Effects of Parotid Gland Ablation on Experimental Fracture: Callus and Its Microvascular Modifications....Pages 53-58 Effects of Submaxillary Gland Ablation on Experimental Fracture: Callus and Its Microvascular Modifications....Pages 59-63 Front Matter....Pages 65-65 Bone Marrow Microcirculation in Primary Osteoporosis, Aplastic Anaemia, and Old Age....Pages 67-72 Pathology of Bone Marrow Distant from the Sequestrum in Nontraumatic, Aseptic Necrosis of the Femoral Head....Pages 73-76 Intramedullary Haemorrhage as a Possible Cause of Avascular Necrosis of the Femoral Head — The Histology of 16 Core Biopsy Specimens at the Silent Stage....Pages 77-81 A Microangiographic Study of Avascular Necrosis of the Femoral Head....Pages 82-85 Bone Circulation in the Development of the Degenerative Bone Cyst....Pages 86-90 Avascular Necrosis and the Blood Supply of the Femoral Head....Pages 91-95 What Becomes the Tunnel of Core Biopsy in Patients Treated for Osteonecrosis of the Femoral Head?....Pages 96-99 Front Matter....Pages 65-65 Intravertebral Vacuum Cleft and Ischemic Collapse of the Vertebral Body....Pages 100-105 Front Matter....Pages 107-107 A New Method of Measuring Blood Flow Distribution in Bone....Pages 109-113 The Pattern of Distribution of Blood Flow in Dog Limb Bones Measured Using Microspheres....Pages 114-118 The Non-Entrapment of Microspheres Used for Measuring Blood Flow in the Dog Tibia....Pages 119-120 Correlation of Laser Doppler Flowmetry with Microsphere Estimates for Bone Blood Flow....Pages 121-123 Long-Term Sequential Measurements of Bone Blood Flow Within a Single Animal by the Hydrogen Washout Method....Pages 124-128 Assessment of Blood Flow in the Canine Tibial Diaphysis Using the Microsphere Technique....Pages 129-133 Changes in Femoral Head Blood Flow Associated with Exposure to Compressed Air....Pages 134-136 Total and Segmental Blood Flow of the Femoral Head Epiphysis in Coxitis at Rest and During Exercise....Pages 137-141 Bone Demineralization and Increased Bone Blood Flow in the Rat....Pages 142-146 Anemia, But Not Stimulation of Erythropoiesis Without Anemia, Increases Bone and Bone Marrow Blood Flow in the Rat....Pages 147-149 The Effect of Femoral Neck Fracture on Femoral Head Blood Flow....Pages 150-153 Experimental Pseudarthrosis in Dogs: Vascular Pathogenesis and Cellular Evolution....Pages 155-159 Circulatory and Morphological Effects of Noncemented and Cemented Hip Alloplasty. An Experimental Study in Rabbits....Pages 160-165 Alterations in 85 Sr Clearance in the Intact Canine Femur Following Long-Term Plate Fixation....Pages 166-168 Angiogenesis in Early Fracture Repair....Pages 169-175 Microsphere Estimation of Bone Blood Flow in the Osteotomised Canine Tibia and the Role of the Tibial Nutrient Artery....Pages 176-178 Regional Fracture Site Blood Flow Following Compression Plate Intramedullary Rod and External Fixation....Pages 179-184 Blood Flow in Experimental Epiphyseal Plate Fractures in the Dog....Pages 185-189 The Vascular Repair of an Experimental Osteotomy: The Effect of Separation, Reduction and Compression of the Bone Fragments....Pages 190-197 Front Matter....Pages 107-107 Ischemic Vascular Disease of Post-Traumatic Bone Sepsis....Pages 198-202 Experimental Investigation of the Circulation of the Femoral Head Using a Combined Method of Intraosseous Thermometry and Phlebography....Pages 203-205 Effect of Joint Effusion on Subchondral Bone Circulation....Pages 206-211 Experimental Bone Marrow Alterations Following Single and Multiple High-Dose Steroids in Rabbits....Pages 212-215 Front Matter....Pages 217-217 The Use of Three-Phase Radionuclide Bone Scan After Limb Surgery....Pages 219-221 Bone Angioscintigraphy in Nontraumatic Osteonecrosis of the Femoral Head....Pages 222-225 Dynamic Versus Static Joint Scintimetry in Juvenile Arthritis: An Experimental Study in Dogs....Pages 226-229 A Physiopathological Approach to Reflex Sympathetic Dystrophy of the Upper Limb in Hemiplegia by Three-Phase Bone Scintigraphy....Pages 230-234 Early Bone Tracer Inflow Curves Cannot Be Used for Staging of Reflex Sympathetic Dystrophy....Pages 235-240 Microcirculatory Disorders and Dystrophic Syndrome....Pages 241-246 The Value of Bone Scan in Legg-Calvé-Perthes Disease....Pages 247-251 Intraosseous Engorgement-Pain Syndromes. The Pathomechanism of Pain....Pages 253-259 Bone Marrow Pressure in the Proximal Femur Following Subcapital Fracture of the Femoral Neck....Pages 260-263 Assessment of Intramedullary Pressure Versus Bone Scintigraphy in the Diagnosis of Osteonecrosis of Femoral Head....Pages 264-266 Study of Intraosseous Changes in Seven Patients with Stress Fracture....Pages 267-272 Hydraulic Resistance: A Measure of Outflow Resistance in Osteonecrosis....Pages 273-276 Nuclear Magnetic Resonance Imaging in Femoral Head Osteonecrosis....Pages 277-280 Early Diagnosis of Avascular Necrosis by Magnetic Resonance Imaging....Pages 281-285 Classification of Osteonecrosis in Precollapse Stages by Magnetic Resonance Imaging....Pages 286-289 Magnetic Resonance Imaging for Diagnosis of Nontraumatic Osteonecrosis of the Femoral Head: Preliminary Data....Pages 290-293 Front Matter....Pages 217-217 Impairment of the Hemodynamics and Revascularization in Perthes’ Disease....Pages 295-299 Arteriography in Avascular Necrosis of the Femoral Head....Pages 300-304 Microcirulatory Exploration of the Femoral Head Using Radioactive Microspheres....Pages 305-310 Vascular Changes of Idiopathic Necrosis of the Femoral Head....Pages 311-315 Viscosity of the Blood in Nontraumatic Femoral Head Osteonecrosis....Pages 317-320 Intraoperative Bone Blood Flow Measurement in Patients with Femoral Head Osteonecrosis....Pages 321-324 Two Unusual Cases of Osteonecrosis....Pages 325-327 The Relative Importance of Various Risk Factors In Determining Site and Number of Bones Involved with Osteonecrosis....Pages 328-330 Front Matter....Pages 331-331 Spontaneous Osteonecrosis of the Knee. Results of Treatment by High Tibial Osteotomy and Unicompartmental Arthroplasty....Pages 333-336 Management of Idiopathic Osteonecrosis of the Medial Femoral Condyle....Pages 337-341 Histomorphometry of Free Cortical Bone Autograft Incorporation. Comparison Between Autografted and Allografted Segmental Cortical Bone....Pages 342-345 A Cementless Femoral Stem Designed for Fixation in Living Cortical and Cancellous Bone....Pages 346-352 Reconstruction in Avascular Necrosis of the Spheric Geometrical Shape of the Femoral Head with Acrylic Cement....Pages 353-355 Revascularisation of Massive Allografts: Bone Scintigraphy, Macroscopic and Microscopic Observations, Mechanical Effects of Revascularisation....Pages 357-359 Reconstruction of “On-Lay” Grafts Used for the Fusion of Shaft Fractures....Pages 360-363 Morphological Aspects of Bone Regeneration in Cortical Bone Lengthening Using Ilizarov’s Technique....Pages 364-368 Neovascularization of 2-mm Allograft Discs: A Preliminary Intravital Microscope Bone Chamber Study in the Rabbit....Pages 369-373 Bone Remodeling of Vascularized Bone Graft....Pages 374-375 A Human Massive Vascularized Allograft of Femoral Shaft....Pages 376-380 Treatment of Ischaemic Necrosis of the Femoral Head with a Ventral Muscle Pedicle Graft....Pages 381-385 Front Matter....Pages 331-331 Reliability of Bone Scintigraphy to Assess the Survival of Free Bone Transfers: Limitations of the Method....Pages 386-387 Adjuvant Thermotherapy in the Treatment of Fractures. Preliminary Report....Pages 389-394 Improvement of Femoral Head Blood Flow in Steroid-Treated Rabbits Using Lipid-Clearing Agents....Pages 395-398 Modification of Fatty Accumulation Within the Osteocyte in Steroid-Treated Rabbits Using Lipid-Clearing Agents....Pages 399-404 The Effect of I.V. Injection of Naftidrofuryl (Praxilene) on Intramedullary Pressure in Patients with Osteonecrosis of the Femoral Head....Pages 405-406