Pflüger G, Rahn B A, Fischerleitner F, Thoma H, Wolner C
Arch Orthop Unfallchir. 1976 Oct 8;86(1):45-60. doi: 10.1007/BF00415302.
The bony refill of the distraction-space in leg-lengthening operations is analysed by X-ray control and histological technic as well in animal experiments as clinical patients. Based on our observations a theory of the formation of bone is postulated: We figured out, that a) presumable besides the periosteal potentials of bone formation there are also other active mechanisms of bone growth to be found. b) frequently histological recognised formations of bones cannot yet be proved by X-ray, that means, that the X-ray changes follow the histological ones. c) optimal formation of callus needs most possible stability during the time of consolidation. d) most careful distraction prevents deformities.
通过X线检查和组织学技术，对动物实验和临床患者的肢体延长手术中牵张间隙的骨填充情况进行了分析。基于我们的观察结果，提出了一种骨形成理论：我们发现，a）除了骨膜的成骨潜能外，可能还存在其他活跃的骨生长机制。b）组织学上常能识别的骨形成在X线检查中尚未得到证实，也就是说，X线变化滞后于组织学变化。c）在骨痂巩固期，尽可能的稳定对骨痂的最佳形成是必需的。d）最谨慎的牵张可预防畸形。
