Figure 15 - uploaded by E'Atelaf Abdul-Ameer Al-Mutheffer
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Radiograph of the rib show callus formation in between the fracture ends but fracture line visible two week post operation on first group (transverse control).
Source publication
The aim of this study was to estimate the possibility of the effects of omental pedicle flap on improving the transverse and oblique rib fracture healing. Twenty two old dogs were used in this study. The animals were divided into two equal groups. In first group transverse rib fracture was induced, while in second group obliquely fracture induced....
Context in source publication
Context 1
... Transverse (control) Transverse (treated) 1 week Show clear fracture line (figure 13). Show clear fracture line (figure,14) 2 week Simple callus formation in between the fracture Show callus formation in between the fractured ends, ends, but fracture line visible (figure 15). but fracture line still visible (figure 16). 3 weeks Show callus formation, but fracture line still visible Callus formation in between the fractured ends but (figure 17). fracture line still visible (figure 18). 4 week Show clear callus formation in between fractured Show more dense callus formation in between fractured ends.fracture line still visible (figure 19). ends fracture line very slight visible (figure ...
Citations
... The operative time in first group longer than second group because of careful manipulation of omentum pedicel to avoid tearing or bleeding due to hard manipulation and at the same time choice pedicel of specific long to reach the stabilizing rib, while in graft group only required choice any graft of it then made transverse ligation around it by cat gut suture after that harvested of it and wrapped around the stabilized rib. All results give indicator about rarely post operative complications of internal rib fracture fixation that enhance rapidly restore normal chest wall dynamic and decrease pain resulting in decrease mortality and this agree with (7,12,13) whom said that decrease post operative complications by immediately fixation of rib fracture lead to restore normal mechanical ventilation, prevent penetration of lung lobe, rupture of blood vessels or affect of heart and mediastienal region. In this experimental study chose oblique fracture designed because (1) said that rib bone relatively have thin cortex and it tendency to fracture obliquely, and (13) refers that oblique fracture of ribs have large area which suitable for proliferation of blood vessels from surrounding tissue and migration into the fracture line. ...
This study was conducted to evaluate the effects of omental flap on healing of unfixed fractured ribs in dogs. Sixteen adult local breed dogs were used, which they were divided into two equal groups (Control and Treated group). The experimental animals were pre-medicated with atropine sulfate 0.04 mg/kg BW intramuscularly, and after 10 minute anesthetized with a mixture of Ketamine hydrochloride (15 mg/kg BW)
and Xylazine hydrochloride (5 mg/kg BW) intramuscularly. In control group, the rib was fractured by wire saw and left unfixed then the muscles and skin was closed routinely. While in treated group, the rib was fractured by wire saw and a flap of omentum was put around the fractured rib, then muscles and skin were closed. Animals were observed clinically for one week and radiologically every week for three months. The radiological findings revealed that the healing process was faster in the treated group compared with the control group. The fracture line began to disappear in the eight and at the fourth weeks in the control and treated group respectively. The callus formation was large in size in control group compared with small dense callus in treated group. The remodeling process began in the fourth week in the treated group while at the eighth week in control group. These results indicated that the omental flap play an important role for enhancing healing and help to stabilize unfixed fractured ribs.
