Department of Traumatology, 37024John Hunter Hospital and University of Newcastle, Newcastle, Australia.
School of Medicine and Public Health, 5982University of Newcastle, Newcastle, Australia.
J Orthop Surg (Hong Kong). 2021 Sep-Dec;29(3):23094990211036545. doi: 10.1177/23094990211036545.
Non-union is a taxing complication of fracture management for both the patient and their surgeon. Modern fracture fixation techniques have been developed to optimise the biomechanical environment for fracture healing but do not guarantee union. Patient biology has a critical role in achieving union and stem cell therapy has potential for improving fracture healing at a cellular level to treat or avoid non-union. This article reviews the current understanding of non-union, concepts in bone healing and the current literature on the application of stem cells in non-union.
骨折管理中不愈合是一个令患者及其外科医生都感到棘手的并发症。现代骨折固定技术的发展旨在优化骨折愈合的生物力学环境,但并不能保证愈合。患者的生物学特性在实现愈合方面起着关键作用,干细胞治疗有可能在细胞水平上改善骨折愈合,从而治疗或避免不愈合。本文回顾了目前对不愈合的认识、骨愈合的概念以及干细胞在不愈合中的应用的现有文献。