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相关概念视频

Bone Structure01:55

Bone Structure

Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.
Bone Remodeling01:40

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
The Bone Matrix01:18

The Bone Matrix

Bone contains a relatively small number of cells entrenched in a matrix of collagen fibers that provide an adherent surface for inorganic salt crystals. Both components of the matrix, organic and inorganic, contribute to the unusual properties of bone. Without collagen, bones would be brittle and shatter easily. Without mineral crystals, bones would flex and provide little support. This can be observed by an experiment: when the minerals of a bone are dissolved by soaking the bone in acid or...
Bone Formation by Intramembranous Ossification01:29

Bone Formation by Intramembranous Ossification

Intramembranous ossification is one of the two processes involved in the development of bones within an embryo. The flat bones of the face, most of the cranial bones, and the clavicles are formed via this process. During intramembranous ossification, the bones develop directly from sheets of undifferentiated mesenchymal connective tissue.
The process begins when mesenchymal cells in the embryonic skeleton gather together and differentiate into osteogenic cells, which then develop into...
Bone Remodeling and Repair01:31

Bone Remodeling and Repair

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...
Bone Formation by Endochondral Ossification01:24

Bone Formation by Endochondral Ossification

Bone formation, or ossification, begins around the sixth to seventh week of embryonic development. Most bones develop from a cartilaginous template through the process of endochondral ossification. Cartilage formation begins when clusters of mesenchymal cells differentiate into chondrocytes. These chondrocytes proliferate rapidly and secrete an extracellular matrix that becomes encased in a membrane called the perichondrium. The resulting cartilage model provides a template that resembles the...

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图像引导的皮肤骨质合成:超越了极限

Nicolas Stacoffe1,2, Sylvain Grange3, Joris Lavigne1

  • 1Department of Radiology, Groupement Hospitalier Sud, Hospice Civils de Lyon, Lyon, France.

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概括

干预性放射学在复杂骨折中推进了皮肤间骨质合成,提供了最少的侵入性解决方案. 这种技术可以改善患者的康复,并治疗以前无法手术的疾病.

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科学领域:

  • 肌肉骨护理 肌肉骨护理
  • 干预性放射学 干预性放射学
  • 整形外科手术 整形外科手术

背景情况:

  • 在过去的二十年里,穿皮骨质合成在干预放射学中取得了重大进展.
  • 迹象已经扩大到创伤之外,包括骨质疏松症/缺陷骨折和瘤学.
  • 图像和植入知识的技术进步推动了这些发展.

研究的目的:

  • 为先进的穿皮骨质合成提供一个实用的框架.
  • 为了指导设备的合理选择和复杂轨迹的规划.
  • 突出决策,解剖学限制和疼痛管理策略.

主要方法:

  • 使用先进的成像技术 (CT,CBCT,导航,机器人) 提供精确的指导.
  • 运用对骨生物力学和植入物行为 (螺丝,水泥增强) 的知识.
  • 采用辅助技术,如水解剖,热除和栓塞.

主要成果:

  • 在创伤,骨质疏松症和瘤学中扩大皮肤透骨质合成的指示.
  • 成功规划和执行复杂的轨迹 (例如,圣体,体).
  • 最少侵入性,稳定和持久的解决方案,使患者能够更快地重新动员.

结论:

  • 干预性放射学为肌肉骨疾病提供有效的,最少侵入性的解决方案.
  • 掌握技术和了解病理是成功结果的关键.
  • 这种方法使干预放射学成为多学科肌肉骨护理的关键参与者.