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[Sympathectomy and bone circulation (animal experiments) (author's transl)]
Zentralblatt Fur Chirurgie
|January 1, 1981
Summary
Lumbar sympathectomy increases tibial blood flow but does not improve fracture healing. Instead, it leads to prolonged hyperaemia, increased bone remodeling, and trophic alterations, complicating the clinical picture.
Area of Science:
- Orthopedic surgery
- Vascular surgery
- Bone physiology
Context:
- Lumbar sympathectomy is a surgical procedure to interrupt sympathetic nerve function.
- Assessing the impact of vascular interventions on bone healing is crucial.
- Tibial fractures require optimal conditions for effective healing.
Purpose:
- To investigate the effect of lumbar sympathectomy on tibial blood flow and fracture healing.
- To determine if increased blood flow correlates with improved bone repair.
- To identify potential adverse effects of lumbar sympathectomy on fracture healing.
Summary:
- Lumbar sympathectomy significantly increases tibial blood flow, effectively doubling it.
- This enhanced hyperaemia does not accelerate or improve fracture healing.
- Instead, sympathectomy prolongs hyperaemia, intensifies bone formation and resorption, and causes trophic alterations.
Impact:
- Lumbar sympathectomy's positive effect on tibial blood flow is not beneficial for fracture healing.
- The procedure may lead to complex clinical presentations due to altered bone metabolism and trophic changes.
- Findings suggest caution when considering lumbar sympathectomy in patients with tibial fractures.