ABSTRACT
Trauma triggers nociceptive impulses that set the affected region apart from the systemic homeostasis. By rendering corresponding cord levels more sensitive to environmental stimuli and by inhibiting selective responses to central activation, they create the biologic environment conducive to cellular repair and tissue maturation. But this process is nonspecific and highly labile. It easily escalates out of its range unless checked and regulated by application, in succession, of immediate, protected, permissive and progressive functional loading.
Subject(s)
Fractures, Bone/physiopathology , Wound Healing , Fractures, Bone/diagnostic imaging , Fractures, Bone/therapy , Humans , Movement , Radiography , Spinal Cord/physiology , Stress, MechanicalABSTRACT
A method of treatment of pyogenic arthritis of the adult knee employing wide open arthrotomy and early active motion, as well as synovectomy in some knees, was used in thirty-four patients with pyogenic arthritis of the knee. Of these patients, sixteen had a good result, twelve had a fair result, and six had a poor result. This method of treatment was used as a salvage procedure in most of the patients, but may have more general application in the treatment of pyogenic arthritis of the knee.
