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[骨折与愈合机制。人甲状旁腺激素对骨折愈合的影响]

[Bone fracture and the healing mechanisms. The effect of human parathyroid hormone on fracture healing].

作者信息

Komatsubara Satoshi, Mashiba Tasuku, Mori Satoshi

机构信息

Department of Orthopedic Surgery, Faculty of medicine, Kagawa University.

出版信息

Clin Calcium. 2009 May;19(5):660-6.

Abstract

We reviewed the effect of human parathyroid hormone (hPTH) on fracture healing. In rodent fracture model, intermittent treatment of PTH accelerated the healing process as evidenced by earlier replacement of woven bone to lamellar bone, increased new cortical shell formation, and increased the ultimate load. In cynomolgus monkey fracture model, PTH accelerates the natural fracture healing process by shrinking callus size and increasing degree of mineralization of the fracture callus, thereby restoring intrinsic material properties.

摘要

我们回顾了人甲状旁腺激素(hPTH)对骨折愈合的影响。在啮齿动物骨折模型中,甲状旁腺激素的间歇性治疗加速了愈合过程,表现为编织骨更早地被板层骨替代、新皮质壳形成增加以及极限负荷增加。在食蟹猴骨折模型中,甲状旁腺激素通过缩小骨痂大小和增加骨折骨痂的矿化程度来加速自然骨折愈合过程,从而恢复内在材料特性。

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