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[Bone vascularization. Anatomic and physiological considerations, surgical deductions concerning osteosynthesis
1Service de chirurgie plastique, hôpital d'instruction des armées Bégin, Saint-Mandé, France.
Annales De Chirurgie Plastique Et Esthetique
|August 10, 2000
Abstract:
The authors report some general considerations concerning the bony anatomy and the bone blood flow. They describe the vascularization of the long bones involving arteries, veins, capillaries and lymphatic vessels. The double systemic and local control of the bone blood flow is evaluated. The local factors are numerous: autoregulation, nervous regulation as well as humoral, metabolic and cellular factors. Some surgical deductions are then discussed concerning osteosynthesis procedures and biomechanical properties of vascularized bone grafts.