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骨生物制剂在骨质疏松性骨折治疗中的应用。

Use of osteobiologics in the management of osteoporotic fractures.

机构信息

St. Michael's Hospital, 55 Queen St. East, Suite 800, Toronto, Ontario M5C1R6, Canada.

出版信息

J Orthop Trauma. 2011 Jun;25 Suppl 2:S51-5. doi: 10.1097/BOT.0b013e31821b8c52.

DOI:10.1097/BOT.0b013e31821b8c52
PMID:21566475
Abstract

Osteoporotic fractures present a number of significant challenges for surgical management, including high degrees of fracture comminution, poor implant fixation secondary to inferior bone quality, and compromised capacity for fracture healing. Osteobiologics are materials/agents that can promote fracture healing and enhance fracture stability. Given the challenges presented by osteoporotic fractures, they seem ideally suited to potentially benefit from the application of osteobiologics. Despite this, limited clinical investigation into the use of osteobiologics in the management of osteoporotic fractures has been performed. This article reviews a select number of osteobiologic products and the evidence for their use in osteoporotic fractures.

摘要

骨质疏松性骨折的手术治疗存在诸多挑战,包括骨折严重粉碎、骨质量差导致植入物固定不佳,以及骨折愈合能力受损。骨生物材料是能够促进骨折愈合和增强骨折稳定性的材料/药物。鉴于骨质疏松性骨折带来的挑战,它们似乎非常适合从骨生物材料的应用中获益。尽管如此,在骨质疏松性骨折的治疗中应用骨生物材料的临床研究非常有限。本文回顾了一些骨生物材料产品,并探讨了它们在骨质疏松性骨折中的应用证据。

相似文献

1
Use of osteobiologics in the management of osteoporotic fractures.骨生物制剂在骨质疏松性骨折治疗中的应用。
J Orthop Trauma. 2011 Jun;25 Suppl 2:S51-5. doi: 10.1097/BOT.0b013e31821b8c52.
2
Osteobiologics.骨生物制品
Am J Orthop (Belle Mead NJ). 2007 Apr;36(4 Suppl):8-11.
3
Bone graft substitutes and bone morphogenetic proteins for osteoporotic fractures: what is the evidence?用于骨质疏松性骨折的骨移植替代物和骨形态发生蛋白:证据是什么?
Injury. 2016 Jan;47 Suppl 1:S43-6. doi: 10.1016/S0020-1383(16)30011-0.
4
Osteobiologics.骨生物制剂
Bull Hosp Jt Dis. 2004;62(1-2):13-7.
5
Biomaterial scaffolds for treating osteoporotic bone.用于治疗骨质疏松症骨骼的生物材料支架。
Curr Osteoporos Rep. 2014 Mar;12(1):48-54. doi: 10.1007/s11914-014-0187-2.
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Surgical approach to fragility fractures: problems and perspectives.脆性骨折的手术治疗方法:问题与展望。
Aging Clin Exp Res. 2007 Aug;19(4 Suppl):12-21.
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[Morphological analysis of bone dynamics and metabolic bone disease. Histological findings in animal fracture model--effects of osteoporosis treatment drugs on fracture healing process].[骨动力学与代谢性骨病的形态学分析。动物骨折模型的组织学发现——骨质疏松治疗药物对骨折愈合过程的影响]
Clin Calcium. 2011 Apr;21(4):551-8.
8
Vertebral augmentation in osteoporotic fractures.骨质疏松性骨折的椎体强化术
Injury. 2007 Sep;38 Suppl 3:S88-96. doi: 10.1016/j.injury.2007.08.016.
9
Prevention of osteoporotic fractures in the elderly.老年人骨质疏松性骨折的预防
Am J Med. 2005 Nov;118(11):1190-5. doi: 10.1016/j.amjmed.2005.06.046.
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Local strategies to prevent and treat osteoporosis.防治骨质疏松的局部策略。
Curr Osteoporos Rep. 2014 Mar;12(1):33-40. doi: 10.1007/s11914-014-0191-6.

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The "Three in One" Bone Repair Strategy for Osteoporotic Fractures.“三位一体”骨修复策略治疗骨质疏松性骨折。
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2
Different effects of Wnt/β-catenin activation and parathyroid hormone on diaphyseal and metaphyseal in the early phase of femur bone healing of mice.Wnt/β-连环蛋白激活和甲状旁腺激素对小鼠股骨愈合早期骨干和干骺端的不同影响。
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3
Effects of new beta-type Ti-40Nb implant materials, brain-derived neurotrophic factor, acetylcholine and nicotine on human mesenchymal stem cells of osteoporotic and non osteoporotic donors.
新型β型 Ti-40Nb 种植材料、脑源性神经营养因子、乙酰胆碱和尼古丁对骨质疏松和非骨质疏松供者人骨髓间充质干细胞的影响。
PLoS One. 2018 Feb 28;13(2):e0193468. doi: 10.1371/journal.pone.0193468. eCollection 2018.
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Delayed Endothelial Progenitor Cell Therapy Promotes Bone Defect Repair in a Clinically Relevant Rat Model.延迟内皮祖细胞治疗促进临床相关大鼠模型中的骨缺损修复。
Stem Cells Int. 2017;2017:7923826. doi: 10.1155/2017/7923826. Epub 2017 Mar 30.
5
The significance of serum phosphate level on healing index and its relative effects in skeletally immature and mature patients with hypophosphatemic rickets.血清磷酸盐水平对愈合指数的意义及其在骨骼未成熟和成熟的低磷性佝偻病患者中的相关影响。
Biomed Res Int. 2014;2014:569530. doi: 10.1155/2014/569530. Epub 2014 Apr 24.
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Platelet-rich therapy in the treatment of patients with hip fractures: a single centre, parallel group, participant-blinded, randomised controlled trial.富血小板治疗治疗髋部骨折患者:一项单中心、平行组、参与者盲法、随机对照试验。
BMJ Open. 2013 Jun 25;3(6):e002583. doi: 10.1136/bmjopen-2013-002583.