Affiliations: Péterfy Hospital, Trauma Center, Budapest, Hungary | Krankenhaus München-Schwabing, Munich, Germany
Note: [] Corresponding author: Zsolt Vendégh MD, PhD, Péterfy Hospital, Trauma Center, Budapest HU-1081 Budapest, Fiumei út 17, Home: 1126 Budapest, Orbánhegyi út 47, Hungary. Tel.: (+36) 30 94 93 340; (+36) 1 299 77 00; Fax: (+36) 1 35 56 094; E-mail: [email protected]
Abstract: The developing callus requires sufficient oxygen and substrate supply. Despite the importance of these processes, we have limited understanding of regulation of the callus microcirculation. We aimed to assess the role of vasoactive substances in the microcirculation of the callus in a gap osteotomy model in the rabbit detected by laser-Doppler flowmetry. The reactions were elicited with locally applied vasoactive substances: epinephrine (E), calcitonine-gene related protein (CGRP), substance P (SP), sodium nitroprusside (SNP) and Ebrantil (Ebr) on the 10th and 15th postoperative days. Changes of the circulatory parameters were compared to changes in the ipsilateral femoral bone marrow. Perfusion pressure, maximal change of the blood flow and 50% recovery time (50RT) of the flow reactions and peripheral micro vascular resistance (MVR) was calculated. Systemic blood pressure (BP) was measured directly with an arterial catheter. Reactive neurovascular structures, sensitive to neuropeptides and vasoactive substances, appear at a very early stage of callus formation. On the 10th postoperative day, 2/3 of the blood flow velocity of the intact tibia has already returned, and the values are higher on the 15th postoperative day than those of the intact tibia. The basal blood flow velocities (prior to administration of any substance) are significantly higher on the 15th postoperative day than on the 10th.
