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骨折固定,当时和现在:当植入物学会愈合时

Miguel Marta¹, Luís Oliveira², Isabel Marcos Miranda³

¹Department of Orthopaedics, São João University Hospital, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.

|February 22, 2026

概括

骨折护理正在从静态植入物演变为动态伙伴关系. 新技术使植入物能够感知并响应身体,为更好的结果编排愈合.

科学领域:

整形外科手术整形外科手术
生物材料科学生物材料科学
数字健康数字健康

背景情况:

传统的骨折固定提供机械稳定性,但在生物学上是被动的.
局限性包括非联合,延迟愈合和植入并发症,突出显示需要新的范式.
材料,生物学和数字技术的进步挑战了以固定为中心的模型.

研究的目的:

建议对断裂管理进行重构.
将焦点从机械支持转移到动态主体-植入物相互作用.
强调植入物感知,响应和适应生物环境.

主要方法:

当前文学的叙事和概念综合.
整合材料科学,生物力学,生物工程,免疫学和数字健康方面的证据.
确定生物中心骨折护理的设计原则和转化途径.

主要成果:

一个基于五个原则的动态宿主-植入物对话框架:设计时间性,生物整合,机械调制,治疗多功能性和反智能.
十个技术途径说明了整合机械,生物和数字智能的实际应用.
在骨折管理中展示交互式范式.

结论:

骨折护理正在从"修复骨"转变为"编排愈合".
植入物正在从静态硬件转变为治疗中的动态合作伙伴.
这代表了一种哲学转变,即生物学,技术和临床判断之间的动态伙伴关系.

关键词:

适应性骨折护理适应性骨折护理生物整合植入物植入物.骨愈合骨愈合骨愈合断裂固定装置断裂固定装置主机植入对话对话植入物设计植入物设计植入物设计

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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...