Cook Jeremy J, Summers N Jake, Cook Emily A
Division of Podiatric Surgery, Department of Surgery, Mount Auburn Hospital, Harvard Medical School, 330 Mount Auburn Street, Cambridge, MA 02138, USA.
Division of Podiatric Surgery, Department of Surgery, Mount Auburn Hospital, Harvard Medical School, 330 Mount Auburn Street, Cambridge, MA 02138, USA.
Clin Podiatr Med Surg. 2015 Jan;32(1):45-59. doi: 10.1016/j.cpm.2014.09.003.
Electromagnetic fields and their uses in bone healing have been fairly well studied, with most results showing improvement in healing of both bone and cartilage. Most supportive data are found in relation to the spine, femur, and tibia, but there is increasing evidence for its use in the foot and ankle for treatment of nonunions and as an adjunctive device in arthrodeses, particularly in high-risk populations. There are varying data and a significant variety of quality in the current research and publications concerning the use of electrical bone stimulation in the treatment of the foot and ankle. Thus, there is a definite need for further investigation and high-quality study designs to determine the most effective treatment modalities and pathologies best used with bone stimulation. Bone stimulation should be viewed as an adjunctive procedure in which the surgeon optimizes the high-risk patient both medically or surgically whenever possible. But when used appropriately, bone stimulation has the potential to influence outcomes and aid in bone healing when complications arise and in high-risk populations.
电磁场及其在骨愈合中的应用已得到较为充分的研究，大多数结果表明其对骨和软骨的愈合均有促进作用。大多数支持性数据来自脊柱、股骨和胫骨，但越来越多的证据表明，其在足踝部用于治疗骨不连以及作为关节融合术的辅助装置，尤其在高危人群中。目前关于电骨刺激在足踝部治疗中的研究和出版物的数据各异，质量也参差不齐。因此，明确需要进一步研究和高质量的研究设计，以确定最有效的治疗方式以及最适合骨刺激治疗的病理情况。骨刺激应被视为一种辅助手段，外科医生应尽可能在医学或手术方面优化高危患者的情况。但如果使用得当，骨刺激在出现并发症时以及在高危人群中有可能影响治疗结果并促进骨愈合。
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