School of Mechanical and Power Engineering, Harbin University of Science and Technology, Harbin, Heilongjiang, 150080, China.
Med Biol Eng Comput. 2017 Nov;55(11):1895-1914. doi: 10.1007/s11517-017-1701-3. Epub 2017 Aug 8.
In the process of fracture healing, there are many cellular and molecular events that are regulated by mechanical stimuli and biochemical signals. To explore the unknown mechanisms underlying bone fracture healing, optimal fixation configurations, and the design of new treatment strategies, computational healing models provide a good solution. With the simulation of mechanoregulatory healing models, bioregulatory healing models and coupled mechanobioregulatory healing models, healing outcomes can be predicted. In this review, first, we provide an overview of current computational healing models. Their clinical applications are also presented. Then, the limitations of current models and their corresponding solutions are discussed in this review. Finally, future potentials are presented in this review. Multiscale modeling from the intracellular level to the tissue level is essential, and more clinical applications of computational healing models are required in future research.
在骨折愈合过程中,有许多细胞和分子事件受到机械刺激和生化信号的调节。为了探索骨愈合的未知机制、优化固定配置和设计新的治疗策略,计算愈合模型提供了一个很好的解决方案。通过模拟力学调节愈合模型、生物调节愈合模型和耦合力-生物调节愈合模型,可以预测愈合结果。在这篇综述中,我们首先概述了当前的计算愈合模型。还介绍了它们的临床应用。然后,在这篇综述中讨论了当前模型的局限性及其相应的解决方案。最后,在这篇综述中提出了未来的潜力。从细胞内水平到组织水平的多尺度建模是必不可少的,未来的研究需要更多的计算愈合模型的临床应用。
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