一种用于松质骨骨折愈合的新型专业分期系统，与骨干皮质骨骨折的传统愈合模式不同？
A novel specialized staging system for cancellous fracture healing, distinct from traditional healing pattern of diaphysis corticalfracture?
作者信息
Han Duanyang, Han Na, Xue Feng, Zhang Peixun
机构信息
Department of Orthopedics and Trauma, Peking University People's Hospital Beijing, China.
出版信息
Int J Clin Exp Med. 2015 Jan 15;8(1):1301-4. eCollection 2015.
Metaphysis cancellous bone fracture is one of the most common fracture types in clinical orthopedic practice. The specialized healing process of cancellous bone fracture has long been ignored by the academic society. Comparing with diaphyseal cortical bone healing, cancellous bone healing showed less bone tissue necrosis, barely any hematoma formation, limited inflammation events and no external callus formation. Based on our clinical practice and preliminary study, we hypothesize that the healing process of metaphysis cancellous fracture is a distinct process which could be concluded into five overlapping stages with distinguished histological features of each other. Different from the traditional theory defining diaphyseal cortical fracture, our novel staging theory is specialized in cancellous bone tissue fully considering its unique histological features. This novel staging system may help clinical orthopedists gain specialized understanding concerning cancellous healing process and aid in their clinical evaluation and treatment to metaphysis cancellous bone fracture.
干骺端松质骨骨折是临床骨科实践中最常见的骨折类型之一。松质骨骨折的特殊愈合过程长期以来一直被学术界忽视。与骨干皮质骨愈合相比，松质骨愈合显示出较少的骨组织坏死、几乎没有血肿形成、有限的炎症反应且无外骨痂形成。基于我们的临床实践和初步研究，我们假设干骺端松质骨骨折的愈合过程是一个独特的过程，可归纳为五个相互重叠的阶段，每个阶段具有不同的组织学特征。与定义骨干皮质骨骨折的传统理论不同，我们的新分期理论专门针对松质骨组织，充分考虑了其独特的组织学特征。这种新的分期系统可能有助于临床骨科医生对松质骨愈合过程有专门的了解，并有助于他们对干骺端松质骨骨折进行临床评估和治疗。
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