The Clinical Significance of Osteomedullography in Fractures of the Tibial Shaft

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Abstract
Osteomedullography with phlebopression of the extraosseous softtissue veins is a reliable technique in evaluating the repair process in fractures of the tibial shaft in which usual clinical and roentgenographic criteria might prove inadequate. In normally healing fractures, intraosseous flow of contrast medium crossing the fracture gap was seen within ten weeks after injury at the latest. This fact can be used in diagnosing delayed union as well as in determining whether bone-grafting is necessary. There is no need to operate on the fracture if it will consolidate in some months without surgery. Osteomedullographic examinations establish the importance of intramedullary vascular connections in the healing of fractures.

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