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[从 Wolff 定律、Ilizarov 技术到自然重建理论]

[From Wolff law, Ilizarov technology to natural reconstruction theory].

作者信息

Zang Jian-cheng, Qin Si-He

机构信息

Department of Cangzhou Hospital Integrated of TCM and Western Medicine, Cangzhou 061001, Hebei, China.

出版信息

Zhongguo Gu Shang. 2013 Apr;26(4):287-90.

Abstract

Wolff law was an adaptable principle of bone, Tension-Stress Principle was equal to Distraction Osteogenesis or Distraction Tissue Regeneration, The Natural Reconstruction theory was a new orthopedic perspective proposed by Prof. QIN after deformity correction using Ilizarov technology. The thought about their relationship originated from a social phenomena, that the crowds and the confusion about export choice in Beijing's subway. Ilizarov technology and Wolff law were one concept related to Mechanics, and the former is completely in line with the latter. In other words, Ilizarov technology is an extension of Wolff law, is a repeated process of micro-trauma and continuous repair of bone trabecular initiated by moden engineering, just trabecular formed along the tension-stress direction. With adjustment of mechanical force,doctor can control the process of fracture healing and bone remolding to a certain extent. Natural Reconstruction theory enlarged the defined range of Wolff law obviously. Not only guided orthopedics clinical and basic research,but also related to the dialectical thinking of the doctor-patient relationship in sociology. There was an inevitable connection among Wolff law, Ilizarov technology and Natural Reconstruction theory. The history of discovery and understanding was a continuous process of thinking,practice and integration.

摘要

沃尔夫定律是骨的一种适应性原理,张力-应力法则等同于牵张成骨或牵张组织再生,自然重建理论是秦教授在应用伊里扎洛夫技术矫正畸形后提出的一种新的骨科观点。关于它们之间关系的思考源于一种社会现象,即北京地铁里人群和出口选择的混乱。伊里扎洛夫技术和沃尔夫定律是与力学相关的一个概念,前者完全符合后者。换句话说,伊里扎洛夫技术是沃尔夫定律的延伸,是现代工程引发的骨小梁微创伤和持续修复的重复过程,只是骨小梁沿张力-应力方向形成。通过调整机械力,医生可以在一定程度上控制骨折愈合和骨重塑过程。自然重建理论明显扩大了沃尔夫定律的定义范围。它不仅指导骨科临床和基础研究,还涉及社会学中医患关系的辩证思维。沃尔夫定律、伊里扎洛夫技术和自然重建理论之间存在必然联系。其发现和理解的历史是一个思维、实践和整合的连续过程。

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