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一种新型经皮骨科植入系统的建模,用于控制术后骨整合过程。

Modeling of a New Percutaneous Orthopedic Implant System to Control the Post-surgery Osseointegration Process.

作者信息

Faoussi Mohamed, Bounou Salim, Wahbi Mohammed

机构信息

Euromed Research Center, BiomedTech Engineering School, University EUROMED de Fès, Fez, Morocco.

Systems Engineering Laboratory, The Intelligent Systems and Sensor Networks team, EHTP, Casablanca Morocco.

出版信息

J Biomed Phys Eng. 2024 Apr 1;14(2):199-208. doi: 10.31661/jbpe.v0i0.2304-1612. eCollection 2024 Apr.

DOI:10.31661/jbpe.v0i0.2304-1612
PMID:38628895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11016829/
Abstract

This study presents a mechanical model of a novel medical device designed to optimize the osseointegration process in upper and lower limb amputees, leading to the promotion of optimal rehabilitation. The medical device is developed to reduce the risk of implant failure, leading to re-amputation above the implant. The proposed model serves several purposes: 1) to guide the osseointegration process by providing electrical endo-stimulation directly to the bone-implant contact site, using an invasive electrical stimulation system, which is implanted in the bone permanently, 2) to locally transmit stem cells after implantation, without the need for opening the skin or perforating the bone, which is particularly useful for regenerative medicine after partial healing of the implant, 3) to transmit necessary nutrients from the bone, also without opening the skin or puncturing the bone, and 4) to combat infections by locally administering drugs after implantation.

摘要

本研究提出了一种新型医疗设备的力学模型,该设备旨在优化上肢和下肢截肢者的骨整合过程,从而促进最佳康复。开发该医疗设备是为了降低植入物失效的风险,避免在植入物上方再次截肢。所提出的模型有几个用途:1)通过使用永久植入骨内的侵入性电刺激系统,直接向骨 - 植入物接触部位提供电内刺激,以引导骨整合过程;2)在植入后局部传输干细胞,无需切开皮肤或穿透骨头,这对于植入物部分愈合后的再生医学特别有用;3)同样无需切开皮肤或穿刺骨头,从骨中传输必要的营养物质;4)在植入后通过局部给药来对抗感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/52f50a61ab30/JBPE-14-199-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/ab1ac506ede6/JBPE-14-199-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/23e301277cf1/JBPE-14-199-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/a29a3bc57703/JBPE-14-199-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/f19c1d674b41/JBPE-14-199-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/52f50a61ab30/JBPE-14-199-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/ab1ac506ede6/JBPE-14-199-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/23e301277cf1/JBPE-14-199-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/a29a3bc57703/JBPE-14-199-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/f19c1d674b41/JBPE-14-199-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f03c/11016829/52f50a61ab30/JBPE-14-199-g005.jpg

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Biological mechanisms underlying complications related to implant site preparation.种植位点预备相关并发症的生物学机制。
Periodontol 2000. 2022 Feb;88(1):52-63. doi: 10.1111/prd.12410.
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Osseodensification effect on implants primary and secondary stability: Multicenter controlled clinical trial.骨密度对种植体初期和次级稳定性的影响:多中心对照临床试验。
Clin Implant Dent Relat Res. 2021 Jun;23(3):317-328. doi: 10.1111/cid.13007. Epub 2021 May 27.
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The bone anchored prostheses for amputees - Historical development, current status, and future aspects.为截肢者设计的骨锚式假体——历史发展、现状与未来展望。
Biomaterials. 2021 Jun;273:120836. doi: 10.1016/j.biomaterials.2021.120836. Epub 2021 Apr 19.
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Implant Surface Design Regulates Mesenchymal Stem Cell Differentiation and Maturation.植入物表面设计调控间充质干细胞的分化与成熟。
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Direct current electric stimulation in implant osseointegration: an experimental animal study with sheep.植入物骨整合中的直流电刺激:一项以绵羊为实验对象的动物研究
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