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At least 19 recordsLinked to original sources
PubMed1978

["Fibula-pro-tibia-fusion" (Hahn-Brandes-Graft) in treatment of bone defects of the tibia (author's transl)].

The authors use the "fibula-pro-tibia fusion" (also called Hahn-Brandes Graft, for the treating large bone defects of the tibia shaft. This method is preferred both with congenital partial tibial aplasias with acquired extensive pseudarthrosis defects of the tibia. In congenital cases, grafting of the distal end of the fibula onto the calcaneal end of the foot with careful preservation of the epiphyseal disc, should precede surgery. Large differences in leg length can be treated after fusion surgery by means of elongation osteotomies. Attention is drawn to this method in the second example of pseudarthrosis defect. Lastly the authors mention a further method for mediation of large diaphyseal tibia defects, namely the transplantation of the opposing fibula. This can lead to good results when an aggressive form of fibrous dysplasia is not present, as was the case however in the third example. In such a case the process only heals after removal of the cover of the periosteum as well.

Adult↗
PubMed1979

The timing of the onset of osteogenesis in the tibia of the embryonic chick.

Haematoxylin, Alcian Blue-Chlorantine Fast Red (ABCR) and the Ralis osteoid-specific stain were employed to closely follow the histogenesis of the tibia of the embryonic chick so as to provide an accurate description of the onset of ossification. An overview of the major cytological events preceding osteogenesis in the tibia was obtained from hindlimbs of embryos of H. H. (Hamburger and Hambilton, '51) stages 16-26 (2.5-5 days of incubation) stained with ABCR. A description of the cytological changes in the periosteum as it develops from the perichondrium and an analysis of the timing of the onset of osteoid deposition was obtained from the tibiae of accurately aged and staged embryos of H. H. stages 28-32 (5.5-8 days). These tibiae were stained specifically for the detection of osteoid: the freshly-secreted, unmineralized product of fully-differentiated osteoblasts. The perichondrium transformed into a bi-layered periosteum at H. H. late stage 29 (6.5 days) while osteoid was first detected adjacent to the hypertrophic cartilage of H. H. stage 30 (6.5-7 days) tibial diaphyses. These results, correlated with the immunoflourescent studies of Von der Mark et al. ('76a,b), which revealed the presence of Type I (bone-type) collagen-synthesizing cells in the perichondria of tibiae from embryos of H. H. stage 28 (5.5-6 days), demonstrated that the onset of determination of cells for osteogenesis and the cytodifferentiation of the periosteum are not temporally coupled.

Animals↗
PubMed1977

Magnesium and the mineral metabolism of chick embryo tibiae in organ culture.

Using bone organ culture techniques, three concentrations of magnesium were evaluated for their effects on the mineral mass of embryonic chick tibiae incubated for 3 days with or without a metabolic inhibitor (1 mM iodoacetic acid) added to the media. Varying the medium Mg level from 0.3 to 3.0 mM had little effect on the net increase in mineral in live bones (without the inhibitor), but in dead tibiae (with the inhibitor) there was a marked net decrease in mineral deposition with increasing Mg concentration. Bone Mg mass varied directly with the level of Mg in the medium regardless of whether or not the tibiae were inhibited. Responsiveness to parathyroid hormone (PTH) with regard to mineral loss and increased lactate production was not affected by Mg even in tibiae incubated in Mg-free media. However, PTH-treated bones cultured in Mg-free media had a significantly elevated Mg mass, suggesting that the hormone may have a Mg-conserving effect on bone during severe Mg deficiency. The findings of this study support the hypothesis that bone cells regulate the level of Mg to which newly forming mineral is exposed and that PTH-responsiveness in embryonic chick tibiae is not dependent on the ambient Mg concentration.

Animals↗
PubMed1978

[Corrective osteotomies of the head of the tibia (indications, technique and results) (author's transl)].

The best indication for corrective osteotomy of the head of the tibia is unilateral osteoarthrosis of the knee joint in which the apical angle of the deformity lies in the head of the tibia or in the joint. Full-length radiographs of the leg are indispensable to determine the level of the osteotomy and the angle of correction required. The indications for high openwedge osteotomy of the tibial condyles and high osteotomy of the head of the tibia are discussed, and some of the technical details of the osteotomy and its fixation are described. Between 1970 and 1977, 139 corrective osteotomies of the head of the tibia were carried out in our clinic. Seventy nine adult patients with 100 operated knees were followed up approximately 3.5 years after operation. In 80% there was an improvement with regard to pain and walking distance when compared with the praeoperative state. The results depend on the kind of deformity (varus deformities generally show a better result) and the seriousness and duration of pre-existing osteoarthrosis and laxity of the ligaments.

Adolescent↗
PubMed1976

Inconsistency of the tibia test for estimating growth hormone in crude pituitary extracts.

The complement fixation immunoassay (CFIA) was used for quantitating growth hormone (GH) in crude anterior pituitary extracts from rats subjected to thyroidectomy with or without cortisol and exogenous GH administration. The results obtained from this study were compared with pertinent bioassay (tibia test) results or correlated with the pituitary acidophil cell counts. Whereas it has been reported that pituitary GH levels are normal by the tibia test at 2 weeks after thyroidectomy, the highly specific CFIA method showed an actual 87% decrement which correlated well with the reduction in acidophilis. In addition, the apparently normal content of GH after cortisol administration to thyroidectomized rats, as measured by the tibia test, was contradictory to the very low acidophil population and to the marked reduction in pituitary GH content as measured by the CFIA. Furthermore, theoretical tibia responses illustrate the inconsistency of the bioassay in different experimental conditions. If, as previously suggested, the content of thyrotrophin (TSH) in the crude pituitary extracts renders the bioassay of GH a dubious procedure, then the superiority of immunoassay is obvious.

Animals↗
PubMed1975

The transarticular graft for infantile pseudarthrosis of the tibia. A new technique.

Fourteen cases of pseudarthrosis of the tibia in childhood presented at a hospital in Burma over a period of eight years. The ages of the patients ranged from one month to seventeen years. Nine were treated by a pointed graft driven into the medullary cavity of the distal tibia, and usually across the ankle joint into the body of the talus, before fixation to the proximal tibia. In six of the nine union was secured, but one case required a second grafting. Transarticular segments of graft showed a marked tendency to undergo absorption. No significant deformity was observed to follow central penetration of the growth plate and epiphysis of the lower tibia.

Adolescent↗
PubMed1976

[Congenital bowing of the tibia in neurofibromatosis von Recklinghausen (author's transl)].

There is a close, but not constant, relationship between congenital bowing of the tibia or infantile pseudo-arthrosis of the tibia and von Recklinghausen's neurofibromatosis. In about 40% it is possible to confirm the diagnosis by examining relatives, but the radiological findings and the course of the disease, as well as by histological examination. Anterior bowing with dysplastic-sclerotic bone changes results in the "high risk tibia". This may lead to a pathological fracture. Treatment depends on the clinical findings and radiological changes. It should be aimed at preventing pathological fractures and pseudarthrosis.

Adolescent↗
PubMed1978

Effect of a dietary rapeseed protein concentrate on the contents of alpha-tocopherol and zinc in serum, liver and tibia of rats.

In order to study the effects of a dietary rapeseed protein concentrate (RPC) on tocopherol and zinc levels in serum, liver and tibia, female rats were fed a tocopherol-reduced diet for a 3-week period and were then transferred to either of a RPC diet or a control diet containing casein at 20% levels of protein. No unfavourable effects on food intakes or weight gains were recorded. The serum zinc content of the RPC group was slightly reduced and the serum tocopherol values significantly lowered in comparison to the control group. Zinc and tocopherol contents of the livers were not changed. Precipitation of sera by dextran sulphate in the presence of calcium ions indicated a reduced level of low density lipoproteins in rats fed RPC diet. In a second experiment, male and female rats were fed diets containing 10% of protein derived either from RPC or casein. Low zinc contents of tibiae indicated a low biological availability of the zinc present in the RPC diet. Rats on RPC diet also showed reduced levels of tocopherol in serum. Despite a lowered zinc status in rats fed RPC diet there was no reduction in food intake, weight gain or growth of tibia in these groups.

Animals↗
PubMed1979

[The effect of hypophysectomy on the epiphyseal cartilage plate of the rat tibia--electron microscopy and histochemistry of the epiphyseal proliferative zone (author's transl)].

It is a well-known fact that longitudinal bone growth is affected especially by hypophysis among other various endocrine organs. Using young rats, changes in body weight and in length of the tibia were studied after removal of hypophysis, and alterations occurring in the proximal epiphyseal cartilage plate of the tibia playing an important role in longitudinal bone growth were examined under light and electron microscopes, with special emphasis on the proliferative zone. Alterations of ATP-ase activity of ruthenium red affinity were also examined electron microscopically. Further, quantitative analyses of the alterations of cell organelles were performed using low power electron micrographs. 1) Following hypophysectomy, immediate suppression in weight gain occured, and little or no gain was seen from 14 to 28 days after removal of the gland with plateau in body weight. Longitudinal bone growth of tibia was also suppressed, and little or no growth was seen from the 14th day afterward as was the case for body weight. 2) Changes revealed by light microscopic examination included reduced width of epiphyseal cartilage plate, decreased number and disturbed arrangement of chondrocytes, rapid transition from proliferative zone to degenerative zone, and disturbed formation of the subchondral trabecula. 3) Electron microscopic examination revealed poor development of rough surfaced endoplasmic reticulum in the cell of proliferative zone, Golgi apparatus ocnsisting of lamellae and a relatively large numbers of vesicles and pronounced decrease in vacuoles. In addition, accumulation of lipid droplets and glycogen granules were seen together with mitochondria exhibited swelling and elevation of electron density in their matrices. ATP-ase activity was decreased. In the cartilage matrix of the proliferative zone, collagen fibrils and ruthenium red positive granules were decreased in number. 4) Rough surfaced endoplasmic reticulum, Golgi apparatus, and cytoplasmic vacuoles were treated quantitatively by dividing the proliferative zone into two parts of upper and lower layers. The data showed marked decrease in the every item examined after hypophysectomy. 5) These results indicate that hypophysectomy causes a decrease in intracellular metabolism of chondrocytes in the proliferative zone with a reduced function of matrix formation. The suppression of longitudinal bone growth after hypophysectomy appears to occur under an intimate correlation with a decrease in matrix formation by the chondrocytes of proliferative zone and inhibition of proliferation of the cells in this zone.

Animals↗
PubMed1978

[Modification of the operative technics for the ventralisation of the tuberositas tibiae (Maquet-Bandi) (author's transl)].

UNLABELLED: There is given a modification of operative technics for ventralisation of the tuberosity of the tibia (Maquet-Bandi-Operation). Similar to a sand-glass two triangular cortical/spongious bone grafts are taken from the medial side of the tibia, just beside the tuberosity. Their size can be determined exactly. After having chiseled the proximal part of the tuberosity from both sides and lifted it up, the bone grafts are put under it, one from the medial, the other one from the lateral side by the way, that the top of the triangle is looking in distal, the base in proximal direction. The cortical surfaces of the grafts, showing to the medial and lateral side, make sure the stable keeping place, while their spongious surfaces, showing to the internal side, by direct contact to the spongious backside of the tuberosity and its spongious bed guarantee the quick osseous consolidation. A minimal osteosynthesis by drilling 2 Kirschner-wires in ventro-dorsal direction through the tuberosity, the cortical part of the bone grafts up to the opposite cortex of the tibia finishes the operation. ADVANTAGES: 1. The bone graft can be taken directly at the field of operation. 2. The bone material is homogenous. 3. The cortical part of the grafts guarantee stable keeping place. 4. Their spongious parts make sure the quick osseous consolidation. 5. Minimal osteosynthesis is necessary.

Humans↗
PubMedDate not supplied

The operative treatment of intra-articular fractures of the lower end of the tibia.

Intra-articular fractures of the lower end of the tibia are an interesting challenge. The best functional results in the past series were observed in patients treated according to the following 4 sequential principles: (1) reconstruction of the correct length of the fibula; (2) anatomical reconstruction of the articular surface of the tibia; (3) insertion of a cancellous autograft to fill gaps left by impaction and comminution; (4) stable internal fixation of the fragments by a plate placed on the medial aspect of the tibia. Seventy-five cases had a good or excellent late result (on average 6 years postoperatively) in 70% as compared to 43% to 55% in cases treated by closed and/or open methods.

Adult↗
PubMed1977

To what extent is the tibia-calcaneum angle a reliable measurement of the triceps surae length? Radiological correction of the torque-angle curve (III).

Previous papers gave some methods for the reliable measurement of the tibia-calcaneum angle. It is of common use to evaluate the physical properties of triceps surae on the basis of torque-angle curves. However this method is reliable only if each tibia-calcaneum angle corresponds to a defined distance between the insertions of the muscle in subjects of the same height. Evidence is given by radiological measurements that this correspondance is correct in normal children. However, this is no longer true in certain cerebral palsied children because of abnormal translation of the calcaneum and/or abnormal ratio of bone sizes. In this case the torque-angle curves do not define properly the torque-length curves. A method of correction is given. This correction may be as high as 15 degrees.

Ankle Joint↗
PubMed1979

[Differential diagnosis of a metastasizing adamantinoma of the tibia and fibula (author's transl)].

A case of an adamantinoma of the tibia and fibula is described in a 10-year-old girl who died after 17 years with pulmonary metastasis. For a long time, an exact diagnosis couldn't be made. Histologically the lesion was called chronic osteomyelitis (Brodie's abscess), synovial sarcoma and spindle cell sarcoma. The revision of the histological sections revealed a fibrous dysplasia-like pattern in the first lesion of the tibia with tiny foci of an epitheloid-like pattern. This had could be the key to the right diagnosis, because sometimes adamantinoma of long bones is associated with a fibrous dysplasia-like pattern. The reason for misinterpretation of the histological features is seen in the typical variable histological pattern of this tumor (basaloids, squamoid, spindled and tubular pattern). In this connection is refered to the necessity to correlate the histological feature with the X-ray in making diagnosis in bone pathology.

Adult↗
PubMed1977

Preventive treatment of congenital pseudarthrosis of tibia.

If an osteotomy is carried out in a child with congenital angulation of the tibia with segmental sclerosis, a pseudarthrosis develops in many cases. This should be prevented by a bone-graft operation along the concave side of the tibia. The results described illustrate this contention.

Bone Transplantation↗
PubMed1978

Ultrastructural findings supporting the angioblastic nature of the so-called adamantinoma of the tibia.

Electron microscopy of a case of adamantinoma of the tibia shows features which support a mesenchymal angioblastic origin rather than epithelial. Comparison is made between tissue from this tumour and a squamous cell carcinoma of the femur arising in chronic osteomyelitis. In adamantinoma no desmosomes are found between tumour cells and their cytoplasmic ultrastructure shows features of mesenchymal cell type including evidence of pinocytic activity and bundles of filaments resembling hyperplastic endothelial cells. The stroma shows features similar to fibrous dysplasia of bone with fibroblasts, histiocytes and fibrolipoblastic lipid-laden mesenchymal cells. It is condluded that adamantinoma of the tibia should be considered to be an angioblastic tumour of bone.

Bone Neoplasms↗
PubMed1976

A genetic study on the length of tibia.

The length of tibia was studied in 1364 males and 1791 females over 10 years of age in an agricultural district of Wakayama Prefecture, Japan. (1) The length markedly increased from 10 to 17 years of age in males, and 10 to 15 in females, but it remained comparatively unchanged from 20 to 79 years in both sexes. The following regressions of tibial length covering 20 to 79 years were obtained: Y male = 0-0183x+34-7892, Y female = -0-0269x + 32-5329. The modified data proved to be a normal distribution on skewness and kurtosis test; they were analysed on a quantitative genetic basis. (2) No significant contribution of X-linked and Y-linked genes to tibial length was found in an analysis of parent-child combinations. (3) There was no indication of maternal effect, since the difference between father-child (r = 0-36 +/- 0-05) and mother-child (r = 0-42 +/- 0-04) correlations was not significant. (4) Correlation coefficients between sibs were significant, the values being 0-57 +/- 0-09 for brother-brother, 0-32 +/- 0-22 for sister-sister, and 0-27 +/- 0-13 for brother-sister. Correlation coeffiecients between parent and child were also significant, the values being 0-36 +/- 0-06 for father-son, 0-35 +/- 0-09 for father-daughter, 0-44 +/- 0-04 for mother-son, 0-35 +/- 0-07 for mother-daughter. The regression coefficients of child on midparent were calculated to be 0-77 +/- 0-12. Thus, the heritability for the length of tibia may be estimated to be 0-77 approximately 0-80. Contribution of dominance variance to total variance was very small (VD = 0-01), in contrast to a far greater additive genetic variance (VA = 0-80).

Adolescent↗
PubMed1979

Vascular reactivity of the isolated tibia of the dog.

Experiments were performed to assess the responsiveness of vessels subserving bone tissue to nerve stimulation and to exogenously administered catecholamines and acetylcholine. Tibias of mongrel dogs were isolated and dissected free; the periosteum was left intact. The main nutrient artery was prepared and cannulated. Ring electrodes were placed around the artery. The preparation was perfused at constant flow with aerated (95% O2 - 5% CO2) Krebs-Ringer solution (37 degrees C) by means of a roller pump. The perfusion pressure was continuously recorded. For each preparation, the flow rate was used at which the response to a standard dose of norepinephrine was the largest. Periarterial electrical stimulation caused frequency-dependent increases in perfusion pressure; because these responses were blocked by phentolamine, they must be due to activation of sympathetic nerves. Injections of norepinephrine caused dose-dependent increases in perfusion pressure that were abolished by phentolamine. Acetylcholine caused dose-dependent, atropine-sensitive decrease of the constrictions caused by norepinephrine infusions. These experiments demonstrate that the isolated perfused tibia of the dog is a satisfactory preparation to investigate the direct effects of sympathetic nerve stimulation and naturally occurring vasoactive amines on bone blood vessels.

Acetylcholine↗