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Summary
Eighty patients who had sustained a fracture of the tibial shaft were studied by scintigraphy
using technetium-99m labelled methylene diphosphonate (99Tcm MDP) and a gamma camera. Static scintigrams were obtained in the early stages following
injury and examined for the presence of ‘cold spots’ which may indicate loss of blood
supply to fracture fragments; these were found in 10 per cent of cases but did not
bear any definite relationship to the normal progression of union. Sequential dynamic
scintigrams were obtained at intervals up to 20 weeks after fracture to determine
whether a pattern of uptake of tracer could be identified which correlated with the
subsequent progression of union, but no significant difference was observed between
fractures healing promptly (<20 weeks) and those in which healing was delayed (>20
weeks).
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References
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Article info
Publication history
Accepted:
April 5,
1985
Identification
Copyright
© 1986 John Wright & Sons Ltd. All rights reserved. Published by Elsevier Inc.