Mechanical conditions in the initial phase of bone healing

Epari, Devakara R., Taylor, William R., Heller, Markus, & Duda, Georg N. (2006) Mechanical conditions in the initial phase of bone healing. Clinical Biomechanics, 21(6), pp. 646-655.

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Background: Bone healing is sensitive to the initial mechanical conditions with tissue differentiation being determined within days of trauma. Whilst axial compression is regarded as stimulatory, the role of interfragmentary shear is controversial. The purpose of this study was to determine how the initial mechanical conditions produced by interfragmentary shear and torsion differ from those produced by axial compressive movements. ----- ----- Methods: The finite element method was used to estimate the strain, pressure and fluid flow in the early callus tissue produced by the different modes of interfragmentary movement found in vivo. Additionally, tissue formation was predicted according to three principally different mechanobiological theories. ----- ----- Findings: Large interfragmentary shear movements produced comparable strains and less fluid flow and pressure than moderate axial interfragmentary movements. Additionally, combined axial and shear movements did not result in overall increases in the strains and the strain magnitudes were similar to those produced by axial movements alone. Only when axial movements where applied did the non-distortional component of the pressure–deformation theory influence the initial tissue predictions. ----- ----- Interpretation: This study found that the mechanical stimuli generated by interfragmentary shear and torsion differed from those produced by axial interfragmentary movements. The initial tissue formation as predicted by the mechanobiological theories was dominated by the deformation stimulus.

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45 citations in Scopus
39 citations in Web of Science®
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ID Code: 41282
Item Type: Journal Article
Refereed: Yes
Keywords: bone healing, mechanobiology, interfragmentary movement, shear
DOI: 10.1016/j.clinbiomech.2006.01.003
ISSN: 0268-0033
Subjects: Australian and New Zealand Standard Research Classification > ENGINEERING (090000) > BIOMEDICAL ENGINEERING (090300)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Past > Schools > School of Engineering Systems
Deposited On: 14 Apr 2011 21:56
Last Modified: 29 Feb 2012 13:57

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