A prospective observational study: The role of ultrasonography in detecting various long bone fractures. An in depth study of a military hospital

Shehzad Khan, Bakht Rokhan, S. Abbas, A. Shehzad, Sanyya Hadi
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Abstract

Machado1 defines bone as a specialized yet complex group of connective tissues that has a certain level of elasticity even in the large mineralized components concentration in the extra cellular space. A response is generated immediately after a fracture occurs that is based on a molecular signal cascading the bone induction that is called as the fracture healing. The process includes several stages of process of repair based on a spatial and temporal sequence that can further result in complications for instances the delayed unions, non-unions and infections. These complications have further negative consequences involved in treatments for the patients and subsequently the burden of high cost. According to Machado1 more recent computed tomography besides the traditional x-ray is today proposed for the evaluation such as the ultra sound technique to assess ad monitor the fracture. In addition to that several studies today such as that of Rubin et al.2 Schortinghuis et al.3 Parvizi & Vegari4 Tajali et al.5 have expressed that the low-intensity pulsed ultrasound (LIPUS)devices has the ability to improve the repair the bones of the patients that has shin bone fractures. The studies have shown gradual healing since the injury by using the device that emits the low-intensity pulsed ultrasound. The study conducted by Schofer et al.6 states that LIPUS enhances the healing process in the fresh fractures and has also concluded that the LIPUS assist in promoting the healing in older fractures with delayed fracture healing.
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一项前瞻性观察研究:超声检查在各种长骨骨折中的作用。对某部队医院的深入研究
Machado1将骨定义为一组特殊而复杂的结缔组织,即使在细胞外空间的大量矿化成分浓度下也具有一定的弹性。骨折发生后立即产生的反应是基于级联骨诱导的分子信号,称为骨折愈合。该过程包括基于空间和时间序列的修复过程的几个阶段,这可能进一步导致诸如延迟愈合、不愈合和感染等并发症。这些并发症对患者的治疗产生了进一步的负面影响,并随后造成了高昂的费用负担。根据Machado1的说法,除了传统的x射线外,现在还提出了更多的计算机断层扫描技术来评估和监测骨折,例如超声波技术。此外,目前的一些研究,如Rubin等人2 Schortinghuis等人3 Parvizi和Vegari4 Tajali等人5已经表示,低强度脉冲超声(LIPUS)设备具有改善胫骨骨折患者骨骼修复的能力。研究表明,使用这种发射低强度脉冲超声的设备,伤口会逐渐愈合。Schofer等人进行的研究表明,LIPUS可以促进新骨折的愈合过程,并得出结论,LIPUS有助于促进骨折延迟愈合的老年骨折的愈合。
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