The effect of surgical dissections on blood flow to the tibial tubercle

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
Takeshi KanamiyaM Hara

Abstract

Tibial tubercle transfer is often used for the treatment of patella maltracking. Because the periosteum of both sides of the tibia is stripped off along the tibial tubercle and then the bilateral cortices are transferred, this procedure may disturb the blood supply to the tibial tubercle. However, the blood supply to the tibial tubercle has not yet been clearly elucidated. The purpose of this study is to investigate the effect of surgical dissection on blood flow to the tibial tubercle in an animal model using a hydrogen washout technique. Eleven knees of nine mongrel dogs weighing from 7.0 to 19.1 kg were utilized. The blood flow was measured using a hydrogen washout technique. Before performing the surgical procedures, the control blood flow rate of the tibial tubercle averaged 19.6 ml/min per 100 g of tissue. The blood flow rate did not significantly decrease after transecting the periosteum on the lateral side of the tibia alone (P > 0.05). After completing the tibial tubercle osteotomy, the blood flow rate averaged 11.5 ml/min per 100 g of tissue, which is a 25.3% decrease as compared with the value after transecting the periosteum on the lateral side of the tibia alone (P < 0.05). The blood flow rate significantly decreas...Continue Reading

References

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Citations

Feb 25, 2014·Archives of Orthopaedic and Trauma Surgery·Christian B L ZonnenbergPeter A Nolte
Apr 26, 2016·American Journal of Veterinary Research·Matthew D JohnsonBaljit Singh
Oct 23, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Joan Manuel Burdeus González-SolísAlbert Isidro Llorens
Jan 19, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Mikko LarsenAllen T Bishop
Mar 1, 2020·Archives of Orthopaedic and Trauma Surgery·Akkie RoodSebastiaan A W van de Groes
Aug 6, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Jordy D P van SambeeckSander Koëter

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