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Journal of Bone and Joint Surgery, 1974;56:1586-1591.
© 1974 by The Journal of Bone and Joint Surgery, Inc

The Effect of Externally Applied Pressure on Post-Fracture Swelling

FREDERICK A. MATSEN III M.D.1 and RICHARD B. KRUGMIRE JR. 1

1 From the Department of Orthopaedic Surgery and the Department of Surgery, University of Washington School of Medicine, Seattle

A tibial fracture in the rabbit was used as a model of post-fracture swelling. A maximum increase in limb volume of 30 per cent was observed two to three days after injury. This swelling was significantly limited by an external pressure of ten millimeters of mercury applied by means of an air splint. On discontinuing the pressure, a "rebound" swelling was consistently observed, but nevertheless, the maximum swelling was dramatically reduced in the treated limbs when safe pressures were not exceeded.


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