E-ISSN 2146-8133
 

Original Research (Original Article) 


An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula.

Abstract
Introduction: Various methods have been tried in the past for lengthening the shorter limb, e.g., introduction of foreign material or drilling of the metaphysis, obliteration of nutrient foramen, use of short-wave diathermy, lumber sympathectomy, creation of an artificial arteriovenous fistula, and epiphyseal distraction. This study was undertaken to find a simple technique for limb lengthening by a minor surgical procedure, particularly where limb discrepancy is short.
Materials and Methods: The experiments were carried out on the right hind leg of 40 rabbits of three months of age in batches of five, each of which was a control. All were anesthetized using Nembutal intra-peritoneally at 40–60 mg/kg of body weight and were then allocated to one of the five experimental groups: A] Control rabbits – anesthesia given but no operation done; B] Vertical periosteal division; C] Vertical periosteal division with periosteal stripping; D] Circular periosteal division; E] Circular periosteal division with periosteal stripping. Before proceeding to operate on the rabbits, the measurements of right and left tibiae of each rabbit were recorded by a vernier caliper from the highest point of tibial tuberosity to the tip of the medial malleolus. After a total duration of 8 weeks from the date of operation, the animals were sacrificed and the tibial lengths were compared from the upper margin of the medial condyle (as this was now the most prominent point) to the tip of the medial malleolus again for comparison.
Results: The maximum increase was obtained in the group with circular division along with periosteal stripping, while in the group with vertical division, the minimum increase was obtained.
Conclusion: Circumferential periosteal division with stripping is an ideal procedure for minor length discrepancies or for those with limb inequality undergoing other procedures. It is simple and safe and would not require more than a short period in the hospital.

Key words: Periosteum, animal experimentation, rabbits, animals, bone development


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Ramesh Narula
Articles by Sultan Ali Sadiq
Articles by Balgopal Nair
Articles by Kusum Narula
on Google
on Google Scholar
Article Statistics
 Viewed: 3355
Downloaded: 1220
Cited: 0


REFERENCES
1. Hutchins C. Chinese foot binding. Available via:http://www.fresno.k12.ca.us/schools/S112/Brood/documents/ChineseFootBinding.pdf (Accessed:February 05, 2013).
2. Gurney B. Leg length discrepancy. Gait Posture2002;15:195-206.
3. Percy EC, Wilson CL. Experimental studies onepiphyseal stimulation. J Bone Joint Surg Am1956;38:1096-1104.
4. Yabsley RH, Harris WR. The effect of shaft fracturesand periosteal stripping on the vascular supplyto epiphyseal plates. J Bone Joint Surg Am1965;47:551-566.
5. Barr JS, Stinchfield AJ, Reidy JA. Leg Inequalityfollowing Lumbar Sympathectomy. In: Duthie RB,Ferguson AB Jr (eds.) Mercer's Orthopedic Surgery.Edward Arnold Publishers Limited, London,1973, 345.
6. Sledge CB, Noble J. Experimental limb lengtheningby epiphyseal distraction. Clin Orthop RelatRes 1978;136:111-119.
7. Sola CK, Silberman FS, Cabrini RL. Stimulation ofthe longitudinal growth of long bones by periostealstripping. An experimental study on dogs and monkeys.J Bone Joint Surg Am 1963;45:1679-1684.
8. Jenkins DH, Cheng DH, Hodgson AR. Stimulationof bone growth by periosteal stripping. A clinicalstudy. J Bone Joint Surg Br 1975;57:482-484.
9. Edwards DJ, Bickerstaff DB, Bell MJ. Periostealstripping in achondroplastic children. Little effecton limb length in 10 cases. Acta Orthop Scand1994;65:333-334.
10. Taylor JF, Mrs. Warrell E. The role of periosteal tensionin the growth of long bones. Paper presentedat: Spring Meeting of The British Orthopaedic Association,April 1977, Liverpool.
11. Lynch MC, Taylor JF. Periosteal division and longitudinalgrowth in the tibia of the rat. J Bone JointSurg Br 1987;69:812-816.
12. Houghton GR, Dekel S. The periosteal control oflong bone growth. An experimental study in therat. Acta Orthop Scand 1979;50(6 Pt 1):635-637.
13. Dimitriou CG, Kapetanos GA, Symeonides PP.The effect of partial periosteal division on growthof the long bones. An experimental study in rabbits.Clin Orthop Relat Res 1988;236:265-269.
14. Limpaphayom N, Prasongchin P. Surgical technique:Lower limb-length equalization by periostealstripping and periosteal division. Clin OrthopRelat Res 2011;469:3181-3189. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
15. Chatterjee S, Prasad GC, Udupa KN. Changes inendocrine gland during fracture repair and effect oftheir ablation. J Trauma 1970;10:890-900.
16. Bassett CA, Becker RO. Generation of electric potentialsby bone in response to mechanical stress.Science 1962;137:1063-1064. [DOI via Crossref]   
17. Lokietek W, Pawluk RJ, Bassett CA. Muscle injurypotentials: a source of voltage in the undeformedrabbit tibia. J Bone Joint Surg Br 1974;56:361-369.

How to Cite this Article
Pubmed Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula. An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits. Arch Clin Exp Surg. 2014; 3(2): 94-101. doi:10.5455/aces.20140101031904


Web Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula. An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits. http://www.ejmaces.com/?mno=44626 [Access: December 15, 2019]. doi:10.5455/aces.20140101031904


AMA (American Medical Association) Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula. An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits. Arch Clin Exp Surg. 2014; 3(2): 94-101. doi:10.5455/aces.20140101031904



Vancouver/ICMJE Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula. An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits. Arch Clin Exp Surg. (2014), [cited December 15, 2019]; 3(2): 94-101. doi:10.5455/aces.20140101031904



Harvard Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula (2014) An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits. Arch Clin Exp Surg, 3 (2), 94-101. doi:10.5455/aces.20140101031904



Turabian Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula. 2014. An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits. Archives of Clinical and Experimental Surgery (ACES), 3 (2), 94-101. doi:10.5455/aces.20140101031904



Chicago Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula. "An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits." Archives of Clinical and Experimental Surgery (ACES) 3 (2014), 94-101. doi:10.5455/aces.20140101031904



MLA (The Modern Language Association) Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula. "An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits." Archives of Clinical and Experimental Surgery (ACES) 3.2 (2014), 94-101. Print. doi:10.5455/aces.20140101031904



APA (American Psychological Association) Style

Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula (2014) An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits. Archives of Clinical and Experimental Surgery (ACES), 3 (2), 94-101. doi:10.5455/aces.20140101031904





Most Viewed Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • Role of Ultrasonography (“Honeycomb Sign”) in Early Detection of Dengue Hemorrhagic Fever
    Sudhir Sachar, Sunder Goyal, Saurabh Sachar
    Arch Clin Exp Surg. 2013; 2(1): 38-42
    » Abstract & References » doi: 10.5455/aces.20120828025157

  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Barium Enema in the Diagnosis of Hirschsprung’s Disease: A Comparison with Rectal Biopsy
    Mohammad Abbas, Arshad Rashid, Asim Rafiq Laharwal, Ajaz Ahmad Wani, Shabir Ahmad Dar, Manzoor Ahamad Chalkoo, Showkat Majeed Kakroo
    Arch Clin Exp Surg. 2013; 2(4): 224-228
    » Abstract & References » doi: 10.5455/aces.20120703031135

  • Long-Term Productive Cough Caused by Tracheal Bronchus
    Chih-Hao Chen, Shih-Yi Lee, Ho Chang, Tzu-Ti Hung
    Arch Clin Exp Surg. 2012; 1(2): 120-121
    » Abstract & References » doi: 10.5455/aces.20120311102403

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721

  • Most Downloaded
  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • Pleomorphic Adenoma of Parotid Gland in The Elderly: Do We Always Need to Operate?
    Vikas Malik, Nicholas J Kay, Timothy M Ramsay
    Arch Clin Exp Surg. 2012; 1(1): 41-44
    » Abstract & References » doi: 10.5455/aces.20120212062039

  • Pannus-Related Mechanical Valve Dysfunction Leading to Hemodynamic Shock
    Manabu Shiraishi, Chieri Kimura, Taro Takeuchi, Miki Kanoh, Kenichi Muramatsu, Atsushi Yamaguchi, Hideo Adachi
    Arch Clin Exp Surg. 2012; 1(1): 50-53
    » Abstract & References » doi: 10.5455/aces.20120218124633

  • A Study of Methods Used to Reduce Surgical Site Infections
    Stuart R. Walker, Tara Anderson
    Arch Clin Exp Surg. 2012; 1(1): 27-33
    » Abstract & References » doi: 10.5455/aces.20120213053645

  • Principles of risk management in surgery departments
    Fatemeh Rezaei, Mohammad H Yarmohammadian, Masoud Ferdosi, Abbas Haghshenas
    Arch Clin Exp Surg. 2015; 4(3): 126-134
    » Abstract & References » doi: 10.5455/aces.20140925015830

  • An Experimental Study of the Effect of Periosteal Stripping on Limb Length in Rabbits
    Ramesh Narula, Sultan Ali Sadiq, Balgopal Nair, Kusum Narula
    Arch Clin Exp Surg. 2014; 3(2): 94-101
    » Abstract & References » doi: 10.5455/aces.20140101031904

  • Most Cited Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447
    Cited : 15 times [Click to see citing articles]

  • Experimental Craniofacial Composite Tissue Allotransplantation (CCTA) Models in Rats
    Yalcin Kulahci, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(3): 181-187
    » Abstract & References » doi: 10.5455/aces.20120514010906
    Cited : 13 times [Click to see citing articles]

  • Thoracodorsal Artery Perforator Flap: Basic Surgical Determinants
    Celalettin Sever, Yalcin Bayram, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(4): 270-271
    » Abstract & References » doi: 10.5455/aces.20120506072849
    Cited : 7 times [Click to see citing articles]

  • The effect of Kristeller maneuver on maternal and neonatal outcome
    Gokhan Acmaz, Evrim Albayrak, Gokalp Oner, Murvet Baser, Gulsum Aykut, Gulender Tas Tekin, Gokmen Zararsiz, Iptisam Ipek Muderris
    Arch Clin Exp Surg. 2015; 4(1): 29-35
    » Abstract & References » doi: 10.5455/aces.20140328024258
    Cited : 5 times [Click to see citing articles]

  • Pre-expanded Supraclavicular Flap for Post-burn Neck Contractures
    Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(1): 61-62
    » Abstract & References » doi: 10.5455/aces.20120205090034
    Cited : 4 times [Click to see citing articles]

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721
    Cited : 4 times [Click to see citing articles]

  • Myocardial Protection in Minimally Invasive Mitral Valve Surgery: Comparison of the Cold-Blood Cardioplegia of the Bretschneider Solution and the Warm-Blood Cardioplegia of the Calafiore Protocol
    Inna Kammerer, Ragi Nagib, Gernot Hipp, Markus Preßmar, Mathias Hansen, Ulrich FW Franke
    Arch Clin Exp Surg. 2012; 1(1): 14-21
    » Abstract & References » doi: 10.5455/aces.20120220022958
    Cited : 4 times [Click to see citing articles]

  • Spontaneous Healing and Treatment Alternatives in Burns
    Mehmet Bozkurt, Emin Kapi, Yusuf Acar, Yalcin Bayram
    Arch Clin Exp Surg. 2013; 2(3): 186-196
    » Abstract & References » doi: 10.5455/aces.20130306035449
    Cited : 4 times [Click to see citing articles]

  • Adolescent Idiopathic Scoliosis
    Safak Ekinci, Omer Ersen
    Arch Clin Exp Surg. 2014; 3(3): 174-182
    » Abstract & References » doi: 10.5455/aces.20130422110147
    Cited : 4 times [Click to see citing articles]

  • Slow-Release Drug Deliver System with Polylactic Acid Hydrogels in Prevention of Tracheal Wall Fibroplasia
    Jinrang Li, Lili Peng, Jianjun Sun, Hongguang Guo, Kun Guo, Zuogang Li, Yao Tang, Xu Sun, Shuangqing Zhang
    Arch Clin Exp Surg. 2012; 1(1): 1-7
    » Abstract & References » doi: 10.5455/aces.20120220105531
    Cited : 3 times [Click to see citing articles]