Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 10/2005

01-12-2005 | Original Article

Stiffness measurement of the neocallus with the Fraktometer FM 100®

Authors: T. Schmickal, J. von. Recum, A. Wentzensen

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2005

Login to get access

Abstract

Introduction: The assessment of fracture healing is subjective, and neither radiology nor manual examination allows a reliable determination of bone healing. Fracture healing control in the treatment of tibia shaft fracture with external fixator by a stiffness measurement system (Fraktometer FM 100®) is known from clinical studies. The purpose of this study was to follow stiffness control at external fixator in healing of callotasis with the stiffness measurement system. Materials and methods: From 1994 to 1997 stiffness measurements with the described system (Fraktometer FM 100) were performed in the BG-Clinic Ludwigshafen to assess the healing course in 11 cases of callotasis at lower limb. Results: In ten cases, regular healing could be followed by signal decrease; in one case, a persistent signal without tendency to decrease was able to reveal callotasis failure at an early point of time. The investigation could also show the importance of bending stiffness control. One case of late axis deformation after fixator removal occurred because of disregarding delayed bending signal decrease. Conclusion: Measurements of the external fixator’s stiffness after callotasis can provide useful additional information for further treatment strategy.
Literature
1.
go back to reference Benirschke SK, Mirels SH, Tencer AF (1993) The use of resonant frequency measurement for the noninvasive assessment of mechanical stiffness of the healing tibia. J Orthop Trauma 7:64–71PubMedCrossRef Benirschke SK, Mirels SH, Tencer AF (1993) The use of resonant frequency measurement for the noninvasive assessment of mechanical stiffness of the healing tibia. J Orthop Trauma 7:64–71PubMedCrossRef
2.
go back to reference Claes L (1991) Die Messung der Knochenheilung bei Fixateur-externe Osteosynthesen mit dem Fraktometer FM-100. Chirurg 62:354–355PubMed Claes L (1991) Die Messung der Knochenheilung bei Fixateur-externe Osteosynthesen mit dem Fraktometer FM-100. Chirurg 62:354–355PubMed
3.
go back to reference Claes L, Grass R, Schmickal T, Wentzensen A (2002) Monitoring and healing analysis of 100 tibial shaft fractures. Langenbecks Arch Surg 387:146–152CrossRefPubMed Claes L, Grass R, Schmickal T, Wentzensen A (2002) Monitoring and healing analysis of 100 tibial shaft fractures. Langenbecks Arch Surg 387:146–152CrossRefPubMed
4.
go back to reference Dwyer JSM, Owen PJ, Evans GA, Kuiper JH, Richardson JB (1996) Stiffness measurements to assess healing during leg lengthening. J. Bone Joint Surg 78-B:286–289 Dwyer JSM, Owen PJ, Evans GA, Kuiper JH, Richardson JB (1996) Stiffness measurements to assess healing during leg lengthening. J. Bone Joint Surg 78-B:286–289
5.
go back to reference Eastaugh-Waring SJ, Hardy JR, Cunningham JL (2000) Fracture stiffness measurement using the orthometer: reproducibility and sources of error. Clin Biomech 15(2):140–142CrossRef Eastaugh-Waring SJ, Hardy JR, Cunningham JL (2000) Fracture stiffness measurement using the orthometer: reproducibility and sources of error. Clin Biomech 15(2):140–142CrossRef
6.
go back to reference Eyres KS, Bell MJ, Kanis JA (1993) New bone formation during leg lengthening: evaluated by dual-energy X-ray absorptiometry during limb lengthening. J Bone Joint Surg (Br) 75-B:96–106 Eyres KS, Bell MJ, Kanis JA (1993) New bone formation during leg lengthening: evaluated by dual-energy X-ray absorptiometry during limb lengthening. J Bone Joint Surg (Br) 75-B:96–106
7.
go back to reference Fellinger M, Schanzer A, Szyszkowitz R, Leitgeb N, Stockenhuber N, Roupec R (1993) Computerisierte Sonometrie—die Anwendung eines nichtinvasiven Verfahrens zur Stabilitätsbeurteilung nach Frakturen. Akt Traumatol 23:235–238 Fellinger M, Schanzer A, Szyszkowitz R, Leitgeb N, Stockenhuber N, Roupec R (1993) Computerisierte Sonometrie—die Anwendung eines nichtinvasiven Verfahrens zur Stabilitätsbeurteilung nach Frakturen. Akt Traumatol 23:235–238
8.
go back to reference Kisse B, Eggers C (1995) Können Zeitpunkt und Indikation zur sekundären Knochentransplantation bei verzögerter Knochenbruchheilung unter Fixateur-externe-Behandlung durch Fraktometermessung bestimmt werden? In: Wolter D, Hansis M, Havemann D (eds) Externe und interne Fixationssysteme. Springer, Berlin Heidelberg New York, pp 112–114 Kisse B, Eggers C (1995) Können Zeitpunkt und Indikation zur sekundären Knochentransplantation bei verzögerter Knochenbruchheilung unter Fixateur-externe-Behandlung durch Fraktometermessung bestimmt werden? In: Wolter D, Hansis M, Havemann D (eds) Externe und interne Fixationssysteme. Springer, Berlin Heidelberg New York, pp 112–114
9.
go back to reference Raschke MJ, Claudi BF (1998) Monorail-Methode: Segmenttransport und Verlängerung. In: Rüter A, Kohn D, Correll J, Brutscher R (eds) Kallusdistraktion. Urban & Schwarzenberg, München Wien Baltimore, pp 79–90 Raschke MJ, Claudi BF (1998) Monorail-Methode: Segmenttransport und Verlängerung. In: Rüter A, Kohn D, Correll J, Brutscher R (eds) Kallusdistraktion. Urban & Schwarzenberg, München Wien Baltimore, pp 79–90
10.
go back to reference Richardson JB, Cunninghamm JL, Goodship AE, O‘Connor BT (1994) Measuring stiffness can define healing of tibial shaft fractures. J Bone Joint Surg [Br] 76:389–394 Richardson JB, Cunninghamm JL, Goodship AE, O‘Connor BT (1994) Measuring stiffness can define healing of tibial shaft fractures. J Bone Joint Surg [Br] 76:389–394
11.
go back to reference Richardson JB, O’Connor BT (1993) Direct fracture stiffness measurement in tibial fractures. Int J Orthop Trauma 3:72–74 Richardson JB, O’Connor BT (1993) Direct fracture stiffness measurement in tibial fractures. Int J Orthop Trauma 3:72–74
12.
go back to reference Schmickal T, Wentzensen A (1996) Die Fraktometermessung zur Beurteilung des Neokallus. Swiss Surg (Suppl) 2:13 Schmickal T, Wentzensen A (1996) Die Fraktometermessung zur Beurteilung des Neokallus. Swiss Surg (Suppl) 2:13
13.
go back to reference Schmickal T, Winkler H, Wentzensen A (1996) Fraktometermessung zur Beurteilung der Stabilität des Neokallus. Hefte zur Unfallheilkunde 262:158 Schmickal T, Winkler H, Wentzensen A (1996) Fraktometermessung zur Beurteilung der Stabilität des Neokallus. Hefte zur Unfallheilkunde 262:158
14.
go back to reference Stürmer KM, Rack T (1990) Intravitale Bewegungsmessungen bei der Frakturheilung. Hefte Unfallheilkunde 212:489–498 Stürmer KM, Rack T (1990) Intravitale Bewegungsmessungen bei der Frakturheilung. Hefte Unfallheilkunde 212:489–498
15.
go back to reference Tower SS, Beals RK, Duwelius PJ (1993) Resonant frequency analysis of the tibia as a measure of fracture healing. J Orthop Trauma 7:552–557PubMedCrossRef Tower SS, Beals RK, Duwelius PJ (1993) Resonant frequency analysis of the tibia as a measure of fracture healing. J Orthop Trauma 7:552–557PubMedCrossRef
16.
go back to reference Wentzensen A (1995) In-vivo-Messung der Knochenheilung bei Fixateur externe-Osteosynthesen. In: Wolter D, Hansis M, Havemann D (eds) Externe und interne Fixationssysteme. Springer, Berlin Heidelberg New York, pp 107–111 Wentzensen A (1995) In-vivo-Messung der Knochenheilung bei Fixateur externe-Osteosynthesen. In: Wolter D, Hansis M, Havemann D (eds) Externe und interne Fixationssysteme. Springer, Berlin Heidelberg New York, pp 107–111
Metadata
Title
Stiffness measurement of the neocallus with the Fraktometer FM 100®
Authors
T. Schmickal
J. von. Recum
A. Wentzensen
Publication date
01-12-2005
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 10/2005
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-005-0049-6

Other articles of this Issue 10/2005

Archives of Orthopaedic and Trauma Surgery 10/2005 Go to the issue