Sun Jianfeng, Xie Wenqing, Wu Yuxiang, Li Zhou, Li Yusheng
Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
School of Kinesiology, Jianghan University, Wuhan, Hubei, 430056, China.
Adv Sci (Weinh). 2024 Aug 8:e2404190. doi: 10.1002/advs.202404190.
Piezoelectric effect produces an electrical signal when stress is applied to the bone. When the integrity of the bone is destroyed, the biopotential within the defect site is reduced and several physiological responses are initiated to facilitate healing. During the healing of the bone defect, the bioelectric potential returns to normal levels. Treatment of fractures that exceed innate regenerative capacity or exhibit delayed healing requires surgical intervention for bone reconstruction. For bone defects that cannot heal on their own, exogenous electric fields are used to assist in treatment. This paper reviews the effects of exogenous electrical stimulation on bone healing, including osteogenesis, angiogenesis, reduction in inflammation and effects on the peripheral nervous system. This paper also reviews novel electrical stimulation methods, such as small power supplies and nanogenerators, that have emerged in recent years. Finally, the challenges and future trends of using electrical stimulation therapy for accelerating bone healing are discussed.
当对骨骼施加压力时,压电效应会产生电信号。当骨骼的完整性遭到破坏时,缺损部位内的生物电位会降低,从而引发一些生理反应以促进愈合。在骨缺损愈合过程中,生物电电位会恢复到正常水平。对于超过自身再生能力或愈合延迟的骨折,需要进行手术干预以重建骨骼。对于无法自行愈合的骨缺损,可使用外源电场辅助治疗。本文综述了外源电刺激对骨愈合的影响,包括成骨作用、血管生成、炎症减轻以及对外周神经系统的影响。本文还综述了近年来出现的新型电刺激方法,如小型电源和纳米发电机。最后,讨论了使用电刺激疗法加速骨愈合所面临的挑战和未来趋势。
Adv Sci (Weinh). 2024-8-8
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