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The Journal of Bone & Joint Surgery British Volume
Vol. 72-B, Issue 4 | Pages 615 - 617
1 Jul 1990
Kallio P Michelsson J Lalla M Holm T

Serial serum C-reactive protein (CRP) measurements were made, for three weeks, in 42 consecutive patients with solitary tibial fractures. The CRP response was related to the treatment: lower values were observed in 27 patients treated conservatively than in 15 operated patients. Open reduction and plating resulted in a greater response than closed intramedullary nailing. The timing of the CRP response was related to the timing of the treatment: the highest values were usually recorded two days after admission or operation. The timing of the operation did not affect the degree of CRP response. Neither the site, nor the type of fracture, nor the age of the patient played any role. Awareness of these natural CRP responses after fractures may help in the diagnosis of early post-traumatic and postoperative complications, especially infections.


The Journal of Bone & Joint Surgery British Volume
Vol. 44-B, Issue 1 | Pages 209 - 215
1 Feb 1962
Langenskiƶld A Sarpio O Michelsson J


The Journal of Bone & Joint Surgery British Volume
Vol. 43-B, Issue 1 | Pages 116 - 120
1 Feb 1961
Langenskiƶld A Michelsson J

1. By unilateral resection of the posterior ends of the sixth to eleventh ribs including the costal parts of both costo-vertebral joints, progressive scoliosis can regularly be provoked in young rabbits. Rotation of the vertebrae is prominent in the experimental deformity.

2. Although severe progressive scoliosis can be provoked by a surgical procedure we do not yet know the deforming forces which are released by the operation, but the way lies open for accurate studies on these factors.

3. It seems possible that studies on experimental progressive scoliosis may provide us with new methods to counteract or cure scoliosis in children. The goal is a means to reverse the deforming forces during growth so that the child's spine is straight when growth ceases.