在横截肢截肢后,骨干的重塑
Viktor Shevchuk1, Yurii Bezsmertnyi1, Olexander Branitsky1
1Scientific Department, Scientific and Research Institute of Rehabilitation of National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Orthopedic research and reviews
|May 27, 2024
概括
截肢截肢后的骨茎重塑受到假肢使用的影响. 最佳的结果需要稳定的茎,而不稳定会导致病理性骨变化和压力骨折风险.
科学领域:
- 整形外科 整形外科 整形外科
- 生物医学工程 生物医学工程
- 再生医学是一种再生医学.
背景情况:
- 截肢截肢需要了解骨愈合的假肢使用.
- 骨茎形态显著影响长期的假肢功能和患者的结果.
研究的目的:
- 为了研究骨茎骨重塑的组织学特征.
- 为了确定影响完全与病理性骨改造的因素,经过横截肢后.
主要方法:
- 68名患者的骨茎茎的组织学分析.
- 截肢后的研究持续时间从2到8年不等.
主要成果:
- 确定了三组:完全愈合,由于愈合受损而形成圆形的末端,以及显著的周骨骨形成.
- 病理性改造与茎的超移动性,神经问题和骨适应不良的假肢负荷有关.
结论:
- 具有肌肉覆盖的稳定骨茎促进了骨的完整重塑.
- 不稳定,神经损伤和组织适应不良导致病态骨变化,增加压力骨折风险.
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