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基于微运动的固定系统的进步,用于骨折愈合

Jiaxin Lv¹, Weichen Qi^1,2, Frankie Ka Li Leung¹

¹Department of Orthopaedics & Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

Journal of orthopaedic surgery (Hong Kong)

|June 19, 2025

概括

控制的微运动 (循环轴运动) 增强骨折愈合. 本综述涵盖固定系统,技术和未来对最佳骨修复的需求.

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:

微运动,或在骨折部位控制的循环轴运动,是改善骨折愈合的有希望的策略.
当前的固定系统提供不同程度的微运动控制,在被动系统和外部系统的参数优化方面存在局限性.

研究的目的:

审查和评估基于微运动的骨折固定系统.
突出技术进步,在生物机械,临床前和临床研究中的好处和局限性.
确定未来的研究方向,以优化基于微运动的骨愈合.

主要方法:

基于微运动的固定系统的综合文献综述.
分析技术,包括锁定螺丝,动态板,内钉和外部固定器.
对骨折愈合结果的生物力学,临床前和临床数据的评估.

主要成果:

不同的技术,从锁定螺丝到传感器引导的外部固定装置 (例如,OrthoSpin框架),使控制的微运动成为可能.
内部固定系统往往提供被动的微运动与有限的控制,而外部系统提供精确的控制,但缺乏标准化的参数.
技术进步显示出对治疗骨折的智能,适应性系统的趋势.

结论:

基于微运动的固定是增强骨折愈合的有价值方法.
未来的进步需要整合实时传感和自适应反机制.
针对特定的愈合阶段和患者需求量身定制微运动刺激对于最佳结果至关重要.

关键词:

骨再生骨再生延迟的工会延迟的工会动态化动态化骨折的愈合骨折的愈合微观运动是微观运动.

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