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骨折愈合的生物力学:如何在手术室中最佳地优化你的固定结构。

Biomechanics of fracture healing: how best to optimize your construct in the OR.

作者信息

Hast Michael, Glatt Vaida, Archdeacon Michael, Ledet Eric, Lewis Gregory, Ahn Jaimo, Haller Justin

机构信息

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA.

Department of Orthopaedic Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX.

出版信息

OTA Int. 2024 Mar 11;7(2 Suppl):e304. doi: 10.1097/OI9.0000000000000304. eCollection 2024 Mar.

DOI:10.1097/OI9.0000000000000304
PMID:38487404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10936157/
Abstract

Orthopaedic surgeons routinely assess the biomechanical environment of a fracture to create a fixation construct that provides the appropriate amount of stability in efforts to optimize fracture healing. Emerging concepts and technologies including reverse dynamization, "smart plates" that measure construct strain, and FractSim software that models fracture strain represent recent developments in optimizing construct biomechanics to accelerate bone healing and minimize construct failure.

摘要

骨科医生通常会评估骨折的生物力学环境,以构建一种固定结构,该结构能提供适量的稳定性,从而努力优化骨折愈合。包括反向动力化、测量结构应变的“智能钢板”以及模拟骨折应变的FractSim软件等新兴概念和技术,代表了在优化结构生物力学以加速骨愈合和减少结构失效方面的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ae/10936157/dece86e1480c/oi9-7-e304-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ae/10936157/0b7969d3cac7/oi9-7-e304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ae/10936157/d1d0b057ed72/oi9-7-e304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ae/10936157/dece86e1480c/oi9-7-e304-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ae/10936157/0b7969d3cac7/oi9-7-e304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ae/10936157/d1d0b057ed72/oi9-7-e304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ae/10936157/dece86e1480c/oi9-7-e304-g003.jpg

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本文引用的文献

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Reverse Dynamization Accelerates Regenerate Bone Formation and Remodeling in a Goat Distraction Osteogenesis Model.反向动力化加速山羊牵张成骨模型中再生骨的形成和重塑。
J Bone Joint Surg Am. 2023 Dec 20;105(24):1937-1946. doi: 10.2106/JBJS.22.01342. Epub 2023 Aug 28.
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Analysis of 101 Mechanical Failures in Distal Femur Fractures Treated with 3 Generations of Precontoured Locking Plates.对采用三代预塑形锁定钢板治疗的101例股骨远端骨折机械故障的分析。
J Orthop Trauma. 2023 Jan 1;37(1):8-13. doi: 10.1097/BOT.0000000000002460.
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Technical considerations and early results of magnetic compressive intramedullary nailing for humeral shaft delayed unions and nonunions.
肱骨干延迟愈合和不愈合的磁性加压髓内钉固定技术要点及早期结果
JSES Int. 2022 Jan 17;6(3):385-390. doi: 10.1016/j.jseint.2021.11.022. eCollection 2022 May.
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Virtual Simulation for Interactive Visualization of 3D Fracture Fixation Biomechanics.三维骨折固定生物力学的交互式可视化虚拟仿真。
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Finite Element Analysis of Fracture Fixation.骨折固定的有限元分析。
Curr Osteoporos Rep. 2021 Aug;19(4):403-416. doi: 10.1007/s11914-021-00690-y. Epub 2021 Jun 29.
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Reverse dynamisation: a modern perspective on Stephan Perren's strain theory.反向动力化:斯蒂芬·佩伦应变理论的现代视角。
Eur Cell Mater. 2021 Jun 10;41:668-679. doi: 10.22203/eCM.v041a43.
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Reverse Dynamization Accelerates Bone-Healing in a Large-Animal Osteotomy Model.反向动力化加速大型动物截骨模型中的骨愈合。
J Bone Joint Surg Am. 2021 Feb 3;103(3):257-263. doi: 10.2106/JBJS.20.00380.
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The effect of plate design, bridging span, and fracture healing on the performance of high tibial osteotomy plates: An experimental and finite element study.钢板设计、桥接跨度和骨折愈合对胫骨高位截骨钢板性能的影响:一项实验研究和有限元研究
Bone Joint Res. 2019 Jan 4;7(12):639-649. doi: 10.1302/2046-3758.712.BJR-2018-0035.R1. eCollection 2018 Dec.
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A Systematic Review on Orthopedic Simulators for Psycho-Motor Skill and Surgical Procedure Training.骨科模拟器在心理运动技能和手术操作训练中的系统评价
J Med Syst. 2018 Aug 2;42(9):168. doi: 10.1007/s10916-018-1019-1.
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A Concert between Biology and Biomechanics: The Influence of the Mechanical Environment on Bone Healing.生物学与生物力学之间的协同作用:机械环境对骨愈合的影响。
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