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Correlation of histology of healed fractures and tissue surrounding implants with ultrasonographic and radiographic appearance

M Risselada, Henri van Bree (UGent) , M Kramer, Koen Chiers (UGent) , Luc Duchateau (UGent) and Pieter Verleyen (UGent)
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Abstract
OBJECTIVES: To determine if there was histological correlation with ultrasonographic images of healed fractures and implant-associated tissue after fracture treatment by plate osteotomy. METHODS: Eight adult dogs were included in this retrospective study. Ultrasonography (B-mode and power Doppler) and radiography were performed before plate removal. Surgical biopsies were taken of the fracture site and the tissue adjacent to the plate. These were stained with haematoxylin and eosin to assess histomorphology and bone content and immunolabelled with CD31 to assess vascularity. RESULTS: Ultrasound and radiographic diagnoses of a healed fracture correlated with histological finding of bone healing. Ultrasonography and histology findings of vascularity were also highly correlated. The tissue surrounding the surgical implants was significantly more vascularised on both ultrasonography and histology than that at the fracture site itself. CLINICAL RELEVANCE: Ultrasonography can be used to diagnose fracture healing in plated fractures. Power Doppler ultrasonography examination of fracture healing should be performed away from surgical implants to avoid false-positive results of vascularisation.
Keywords
NEOVASCULARIZATION, CORROSION, TIBIA, ADJACENT, DOGS, ULTRASOUND, EARLY-DIAGNOSIS, STAINLESS-STEEL, PLATEAU LEVELING OSTEOTOMY, LONG BONES

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MLA
Risselada, M et al. “Correlation of Histology of Healed Fractures and Tissue Surrounding Implants with Ultrasonographic and Radiographic Appearance.” JOURNAL OF SMALL ANIMAL PRACTICE 49.5 (2008): 226–232. Print.
APA
Risselada, M., van Bree, H., Kramer, M., Chiers, K., Duchateau, L., & Verleyen, P. (2008). Correlation of histology of healed fractures and tissue surrounding implants with ultrasonographic and radiographic appearance. JOURNAL OF SMALL ANIMAL PRACTICE, 49(5), 226–232.
Chicago author-date
Risselada, M, Henri van Bree, M Kramer, Koen Chiers, Luc Duchateau, and Pieter Verleyen. 2008. “Correlation of Histology of Healed Fractures and Tissue Surrounding Implants with Ultrasonographic and Radiographic Appearance.” Journal of Small Animal Practice 49 (5): 226–232.
Chicago author-date (all authors)
Risselada, M, Henri van Bree, M Kramer, Koen Chiers, Luc Duchateau, and Pieter Verleyen. 2008. “Correlation of Histology of Healed Fractures and Tissue Surrounding Implants with Ultrasonographic and Radiographic Appearance.” Journal of Small Animal Practice 49 (5): 226–232.
Vancouver
1.
Risselada M, van Bree H, Kramer M, Chiers K, Duchateau L, Verleyen P. Correlation of histology of healed fractures and tissue surrounding implants with ultrasonographic and radiographic appearance. JOURNAL OF SMALL ANIMAL PRACTICE. Oxford, UK: Blackwell; 2008;49(5):226–32.
IEEE
[1]
M. Risselada, H. van Bree, M. Kramer, K. Chiers, L. Duchateau, and P. Verleyen, “Correlation of histology of healed fractures and tissue surrounding implants with ultrasonographic and radiographic appearance,” JOURNAL OF SMALL ANIMAL PRACTICE, vol. 49, no. 5, pp. 226–232, 2008.
@article{693110,
  abstract     = {OBJECTIVES: To determine if there was histological correlation with ultrasonographic images of healed fractures and implant-associated tissue after fracture treatment by plate osteotomy.
METHODS: Eight adult dogs were included in this retrospective study. Ultrasonography (B-mode and power Doppler) and radiography were performed before plate removal. Surgical biopsies were taken of the fracture site and the tissue adjacent to the plate. These were stained with haematoxylin and eosin to assess histomorphology and bone content and immunolabelled with CD31 to assess vascularity.
RESULTS: Ultrasound and radiographic diagnoses of a healed fracture correlated with histological finding of bone healing. Ultrasonography and histology findings of vascularity were also highly correlated. The tissue surrounding the surgical implants was significantly more vascularised on both ultrasonography and histology than that at the fracture site itself.
CLINICAL RELEVANCE: Ultrasonography can be used to diagnose fracture healing in plated fractures. Power Doppler ultrasonography examination of fracture healing should be performed away from surgical implants to avoid false-positive results of vascularisation.},
  author       = {Risselada, M and van Bree, Henri and Kramer, M and Chiers, Koen and Duchateau, Luc and Verleyen, Pieter},
  issn         = {0022-4510},
  journal      = {JOURNAL OF SMALL ANIMAL PRACTICE},
  keywords     = {NEOVASCULARIZATION,CORROSION,TIBIA,ADJACENT,DOGS,ULTRASOUND,EARLY-DIAGNOSIS,STAINLESS-STEEL,PLATEAU LEVELING OSTEOTOMY,LONG BONES},
  language     = {eng},
  number       = {5},
  pages        = {226--232},
  publisher    = {Blackwell},
  title        = {Correlation of histology of healed fractures and tissue surrounding implants with ultrasonographic and radiographic appearance},
  url          = {http://dx.doi.org/10.1111/j.1748-5827.2007.00469.x},
  volume       = {49},
  year         = {2008},
}

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