Jingushi Seiya
Department of Orthopaedic Surgery, Kyushu Rosai Hospital.
Clin Calcium. 2009 May;19(5):704-8.
The principles of fracture treatment are the reduction and fixation of the fracture site, while the subsequent biological healing process is expected. Currently, some treatment options that actively stimulate the repair reaction at the fracture site are either available, or they are soon going to become available for clinical use. Low-intensity pulsed ultrasound (LIPUS) or local growth factors are examples of these modalities. They are non-invasive or less invasive than the previous stimulating options such as bone grafting at the fracture site. These treatment modalities are not only used to heal delayed union or non-union but they also have the potential to shorten the repair period until union is achieved while also reducing complications, including deformity or non-union.
骨折治疗的原则是对骨折部位进行复位和固定,同时期待随后的生物学愈合过程。目前,一些能积极刺激骨折部位修复反应的治疗选择已经可用,或者很快将可供临床使用。低强度脉冲超声(LIPUS)或局部生长因子就是这些方法的例子。它们是非侵入性的,或者比以前的刺激方法如骨折部位植骨的侵入性更小。这些治疗方法不仅用于治疗延迟愈合或不愈合,而且还有可能缩短直至实现愈合的修复期,同时减少包括畸形或不愈合在内的并发症。