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电刺激应用于上肢的骨骼和神经损伤。

Electrical stimulation applied to bone and nerve injuries in the upper extremity.

作者信息

Osterman A L, Bora F W

出版信息

Orthop Clin North Am. 1986 Jul;17(3):353-64.

PMID:3526231
Abstract

In conclusion, electrical stimulation of bone has advanced from the laboratory to clinical reality. Despite the lack of good double-blind clinical studies, it is impossible to ignore the excellent results reported from numerous multicenter trials. Doubts and controversies will and should continue. Electrical stimulation has a definite place in the treatment of scaphoid nonunion as well as other failures of osteogenic biology in the upper extremity. The future may realize the enormous potential of electrical stimulation in areas of nerve repair, wound healings, or osteoporosis. The hand surgeon may soon be operating in the age of biophysics where he or she can charge by the kilowatt hour. Yet one should not become a mere technician, but understand the basic science of what one is doing and, above all, maintain a balanced and critical approach.

摘要

总之,骨电刺激已从实验室走向临床实际应用。尽管缺乏完善的双盲临床研究,但众多多中心试验所报告的出色结果不容忽视。怀疑和争议过去存在,今后也仍会继续。电刺激在舟骨不愈合以及上肢其他成骨生物学失败情况的治疗中有着明确的地位。未来,电刺激在神经修复、伤口愈合或骨质疏松症等领域可能会展现出巨大潜力。手部外科医生或许很快就要进入生物物理学时代,届时可能会按千瓦时计费。然而,医生不应仅仅成为一名技术人员,而应理解自身所从事工作的基础科学,最重要的是,要保持一种平衡且批判性的态度。

相似文献

1
Electrical stimulation applied to bone and nerve injuries in the upper extremity.电刺激应用于上肢的骨骼和神经损伤。
Orthop Clin North Am. 1986 Jul;17(3):353-64.
2
Scaphoid (navicular) fracture of the wrist.腕舟骨骨折。
Am Fam Physician. 1984 Apr;29(4):189-94.
3
[Electrostimulation in treating fractures of the scaphoid bone of the wrist].
Ortop Travmatol Protez. 1980 Apr(4):44-5.
4
Bioelectrical osteogenesis: acceleration of fracture repair and bone growth. An alternative to bone grafting in nonunions.生物电骨生成:加速骨折修复与骨生长。骨不连中骨移植的替代方法。
Clin Podiatry. 1985 Jan;2(1):41-57.
5
Electrical stimulation of bone repair.骨修复的电刺激
Clin Podiatr Med Surg. 1991 Oct;8(4):923-35.
6
Scaphoid fractures in soccer goalkeepers.足球守门员的舟骨骨折
J Okla State Med Assoc. 1997 Feb;90(2):45-7.
7
[Bone fracture and the healing mechanisms. Fracture treatment using electrical stimulation].[骨折与愈合机制。使用电刺激的骨折治疗]
Clin Calcium. 2009 May;19(5):709-17.
8
Fractures and nonunions of the scaphoid.
J Okla State Med Assoc. 1996 Sep;89(9):315-23.
9
Electrical stimulation of hard and soft tissues in animal models.
Clin Plast Surg. 1985 Apr;12(2):243-57.
10
Treatment of delayed union and nonunion with an implanted direct current stimulator.使用植入式直流刺激器治疗骨折延迟愈合和骨不连。
Clin Orthop Relat Res. 1980 May(148):117-28.

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2
Monitoring of fracture healing by electrical conduction: A new diagnostic procedure.通过电传导监测骨折愈合:一种新的诊断方法。
Indian J Orthop. 2012 Jul;46(4):384-90. doi: 10.4103/0019-5413.97260.