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Finite element analysis of the influence of fragment size on biomechanical outcomes of various fixation techniques for posterolateral tibial plateau fractures. 骨折碎片大小对胫骨平台后外侧骨折不同固定方法生物力学效果影响的有限元分析。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.3389/fbioe.2026.1676886
Zhenghui Hu, Yanze Xia, Gaolong Shi, Chenying Wu, Liubing Li

Objective: This study aimed to compare the biomechanical stability of different-sized posterolateral tibial plateau fracture fragments under various internal fixation methods using three-dimensional finite element analysis (FEA) and to evaluate the influence of fragment size on displacement and stress distribution with L-shaped and posterior T-shaped plate fixation.

Methods: Three-dimensional FEA models of posterolateral tibial plateau fractures were constructed based on computed tomography (CT) data of an adult tibia. Large and small fracture fragments were simulated, with fixation using an L-shaped plate (large fragment: dual-screw transverse arm fixation; small fragment: single-screw transverse arm fixation) or a posterior T-shaped tibial plate (large fragment: four-screw fixation; small fragment: three-screw fixation). Axial loads of 250 N, 500 N, and 750 N were applied to each model. Maximum displacement and maximum von Mises stress of the fixation constructs were recorded and compared under a 750 N load.

Results: Under a 750 N axial load, FEA revealed: (1) L-shaped plate fixation group: the large-fragment model (dual-screw transverse arm) exhibited a maximum fixation displacement of 0.32 mm and a maximum von Mises stress of 349 MPa, whereas the small-fragment model (single-screw transverse arm) showed a maximum displacement of 0.37 mm and a maximum stress of 454 MPa. (2) Posterior T-shaped plate fixation group: the large-fragment model (four screws) demonstrated a maximum displacement of 0.29 mm and a maximum stress of 189 MPa, while the small-fragment model (three screws) had a maximum displacement of 0.32 mm and a maximum stress of 176 MPa. Overall displacement differences across groups were minimal, and the stress values of all fixation constructs remained below their yield strength, indicating no risk of failure.

Conclusion: Finite element analysis indicates that fragment size significantly affects the biomechanical stability of internal fixation for posterolateral tibial plateau fractures. For smaller fragments, L-shaped plate fixation with a single-screw transverse arm results in significantly elevated fixation stress. In contrast, posterior T-shaped plate fixation maintains favorable stability and lower stress, even with fewer proximal screws. Thus, for smaller posterolateral tibial plateau fracture fragments, posterior T-shaped plate fixation may represent a biomechanically superior option.

目的:采用三维有限元分析(FEA)比较不同内固定方式下不同尺寸胫骨平台后外侧骨折碎片的生物力学稳定性,评价l型钢板和后路t型钢板固定时碎片大小对移位和应力分布的影响。方法:基于成人胫骨的CT数据,建立胫骨后外侧平台骨折的三维有限元模型。模拟大小骨折碎片,采用l型钢板(大碎片:双螺钉横臂固定;小碎片:单螺钉横臂固定)或后路t型胫骨钢板(大碎片:四螺钉固定;小碎片:三螺钉固定)固定。每个模型分别施加250 N、500 N和750 N的轴向载荷。记录固定结构在750 N载荷下的最大位移和最大von Mises应力并进行比较。结果:在750 N轴向载荷下,有限元分析结果显示:(1)l型钢板固定组:大碎片模型(双螺钉横臂)的最大固定位移为0.32 mm,最大von Mises应力为349 MPa,小碎片模型(单螺钉横臂)的最大固定位移为0.37 mm,最大应力为454 MPa。(2)后路t型钢板固定组:大破片模型(4枚螺钉)最大位移0.29 mm,最大应力189 MPa,小破片模型(3枚螺钉)最大位移0.32 mm,最大应力176 MPa。各组之间的总体位移差异很小,所有固定装置的应力值都低于其屈服强度,表明没有失败的风险。结论:有限元分析表明碎片大小对胫骨平台后外侧骨折内固定的生物力学稳定性有显著影响。对于较小的碎片,采用单螺钉横臂的l型钢板固定可显著提高固定应力。相比之下,后路t型钢板固定即使使用较少的近端螺钉也能保持良好的稳定性和较低的应力。因此,对于较小的胫骨平台后外侧骨折碎片,后路t型钢板固定可能是生物力学上更好的选择。
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引用次数: 0
Microbe-enzyme synergistic fermentation enhances tobacco stem cell wall degradation by modulating enzymatic activity and microbial community structure. 微生物-酶协同发酵通过调节酶活性和微生物群落结构促进烟草干细胞细胞壁降解。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fbioe.2026.1732779
Zongcan Yang, Bo Fu, Chunlai Wu, Wenzhao Liu, Sensen Zhao, Tingting Zhang, Yongming Xu, Yingjie Feng, Yunjie Wu, Yunge Jing, Huanhuan Wang

The valorization of tobacco stems, a major agricultural by-product with high lignin content, is hindered by the recalcitrance of plant cell walls. Conventional approaches using single microbes or enzymes suffer from inefficiency, instability, and poor performance on lignin-rich substrates. To address this, we proposed a "microbe-enzyme synergistic" strategy by combining Bacillus megaterium (a multifunctional degrader) with its own extracellular enzymes. Three treatments were designed: microbe-only (Tb), enzyme-only (Te), and microbe-enzyme combination (Tb&e), with sterile water as the control (CK). Cell wall component contents, enzyme activities, and microbial community structure were analyzed after 7 days of fermentation. The Tb&e treatment achieved the most substantial degradation: 64.93% for cellulose, 57.89% for lignin, and 37.20% for pectin, significantly outperforming Tb and Te. It also exhibited the highest activities of cellulase, laccase, and pectinase. High-throughput sequencing revealed that Tb&e specifically enriched Bacillus megaterium (94.97% of the community) while suppressing non-functional competitors. Our findings demonstrate that the synergy creates a positive feedback loop: initial enzymatic hydrolysis facilitates microbial colonization, which in turn boosts sustained enzyme production. This study elucidates a mechanistic model for efficient biodegradation and provides an innovative strategy for the high-value utilization of high-lignin agricultural wastes.

烟草是木质素含量高的主要农业副产物,其茎的增值受到植物细胞壁的抗性的阻碍。使用单一微生物或酶的传统方法在富含木质素的底物上存在效率低、不稳定和性能差的问题。为了解决这个问题,我们提出了一种“微生物-酶协同”策略,将巨型芽孢杆菌(一种多功能降解剂)与其自身的细胞外酶结合起来。以无菌水为对照,设计3种处理:微生物单处理(Tb)、酶单处理(Te)和微生物酶联合处理(Tb&e)。发酵7 d后分析细胞壁成分含量、酶活性和微生物群落结构。Tb&e处理的降解效果最好,纤维素降解率为64.93%,木质素降解率为57.89%,果胶降解率为37.20%,显著优于Tb和Te。纤维素酶、漆酶和果胶酶活性最高。高通量测序显示,Tb&e特异性富集巨型芽孢杆菌(占该菌群的94.97%),同时抑制非功能性竞争对手。我们的研究结果表明,协同作用创造了一个正反馈循环:最初的酶水解促进了微生物的定植,这反过来又促进了持续的酶生产。该研究阐明了高效生物降解的机制模型,为高木质素农业废弃物的高价值利用提供了创新策略。
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引用次数: 0
The efficacy and safety of annulus fibrosus suture as adjuvant therapy for lumbar disc herniation: a systematic review and meta-analysis. 纤维环缝合辅助治疗腰椎间盘突出症的疗效和安全性:一项系统回顾和荟萃分析。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-27 eCollection Date: 2025-01-01 DOI: 10.3389/fbioe.2025.1741738
Wensi Ouyang, Guimei Guo, Yu Sun, Haobo Jiang, Long Chen, Shaofeng Yang

Objective: Lumbar disc herniation (LDH) has demonstrated a rising prevalence in contemporary clinical practice, significantly compromising patients' daily lives and potentially necessitating surgical intervention. While annulus fibrosus suture (AFS) techniques are increasingly incorporated into surgical protocols, current evidence remains inconclusive regarding their definitive clinical advantages.

Methods: We performed a comprehensive search of eight databases from inception to September 2025 to identify published articles on AFS for LDH. Outcome measures encompassed operative time, incision length, blood loss, length of stay (LOS), visual analog scale (VAS) score, Japanese Orthopedic Association (JOA) score, Oswestry disability index (ODI) score, disc height, recurrence, and complication. The quality of the studies was analyzed using the RoB-2 and ROBINS-I tools. Statistical analyses were performed using RevMan 5.4 software and Stata 17 software. The GRADE approach was used to evaluate the certainty of evidence for outcomes.

Results: A total of 58 studies encompassing 5,765 patients diagnosed with LDH. The control group had shorter operative time (MD = 4.85, 95% CI: 2.79 to 6.92, P < 0.00001) compared to the AFS group. There were no differences in terms of incision length, blood loss, LOS, JOA score, ODI score, and complication between the techniques. AFS group demonstrated a significant benefit over control group in terms of VAS score (MD = -0.24, 95% CI: -0.33 to -0.14, P < 0.00001), disc height (SMD = 1.36, 95% CI: 0.73 to 2.00, P < 0.0001), and recurrence (RR = 0.34, 95% CI: 0.27 to 0.42, P < 0.00001). The results of subgroup analysis showed that different study types and different follow-up times were a source of heterogeneity. The quality of evidence for outcome measures ranges from very low to moderate.

Conclusion: Current evidence suggests that AFS therapy may be advantageous in improving clinical symptoms and may reduce postoperative recurrence. Due to limited data and low quality of evidence, additional large-scale, multicenter trials are needed to verify and strengthen these findings.

目的:腰椎间盘突出症(LDH)在当代临床实践中越来越普遍,严重影响患者的日常生活,可能需要手术干预。虽然纤维环缝合(AFS)技术越来越多地纳入手术方案,但目前的证据仍不确定其明确的临床优势。方法:我们对8个数据库进行了全面的检索,从成立到2025年9月,以确定已发表的关于AFS治疗LDH的文章。结果测量包括手术时间、切口长度、出血量、住院时间(LOS)、视觉模拟量表(VAS)评分、日本骨科协会(JOA)评分、Oswestry残疾指数(ODI)评分、椎间盘高度、复发和并发症。使用rob2和ROBINS-I工具分析研究的质量。采用RevMan 5.4软件和Stata 17软件进行统计分析。GRADE方法用于评估结果证据的确定性。结果:共有58项研究,包括5765例诊断为LDH的患者。对照组手术时间较AFS组短(MD = 4.85, 95% CI: 2.79 ~ 6.92, P < 0.00001)。两种方法在切口长度、出血量、LOS、JOA评分、ODI评分和并发症方面均无差异。AFS组在VAS评分(MD = -0.24, 95% CI: -0.33至-0.14,P < 0.00001)、椎间盘高度(SMD = 1.36, 95% CI: 0.73至2.00,P < 0.0001)和复发率(RR = 0.34, 95% CI: 0.27至0.42,P < 0.00001)方面均优于对照组。亚组分析结果显示,不同的研究类型和不同的随访时间是异质性的来源。结果测量的证据质量从极低到中等。结论:目前的证据表明,AFS治疗可能有利于改善临床症状,并可减少术后复发。由于数据有限,证据质量低,需要更多的大规模、多中心试验来验证和加强这些发现。
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引用次数: 0
Editorial: Biomechanics in orthopaedic diseases and surgery, volume II. 编辑:骨科疾病和外科的生物力学,第二卷。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-27 eCollection Date: 2025-01-01 DOI: 10.3389/fbioe.2025.1768760
Cheng-Kung Cheng, Yih-Kuen Jan, Jingwei Zhang
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引用次数: 0
AistSeq: An in-house easy-to-purify Tn5-based plasmid sequencing platform using a compact benchtop sequencer. AistSeq:一个内部易于纯化的tn5质粒测序平台,使用紧凑的台式测序仪。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-27 eCollection Date: 2025-01-01 DOI: 10.3389/fbioe.2025.1673510
Hayato Suzuki, Jutapat Romsuk, Akiyoshi Nakamura, Kosuke Moriwaki, Yoko Yamanishi, Shigeo S Sugano

Sequence verification of plasmids is a fundamental process in synthetic biology. For plasmid sequence verification using next-generation sequencing (NGS) library preparation, Tn5 transposase is widely used. Streamlined sequencing workflow for laboratory-scale applications is important; however, recombinant Tn5 production in-house can be laborious. In this study, we demonstrated that the addition of a large soluble tag was not essential for purification and that the fusion of a His10 tag and protein A was sufficient to yield active Tn5 transposase in adequate amounts. In addition, we evaluated exonuclease-based genomic DNA digestion for plasmid sequencing from an E. coli lysate and the data analysis pipeline of sequences derived from the Illumina iSeq100 platform for de novo assembly, reference mapping, and annotation. This study proposes a simple workflow of an in-house easy-to-purify Tn5-based plasmid sequencing platform using a compact benchtop sequencer (AistSeq).

质粒序列验证是合成生物学的一个基本过程。在下一代测序(NGS)文库制备的质粒序列验证中,Tn5转座酶被广泛使用。简化测序工作流程对实验室规模的应用是重要的;然而,内部生产重组Tn5可能很费力。在这项研究中,我们证明了添加一个大的可溶性标签对于纯化是不必要的,His10标签和蛋白a的融合足以产生足够数量的活性Tn5转座酶。此外,我们还评估了基于外切酶的基因组DNA酶切技术在大肠杆菌裂解液质粒测序中的应用,以及Illumina iSeq100平台衍生序列的数据分析管道,用于从头组装、参考图谱和注释。本研究提出了一个简单的内部易于纯化的tn5质粒测序平台,使用紧凑的台式测序仪(AistSeq)。
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引用次数: 0
Editorial: Clinical translation and commercialisation of advanced therapy medicinal products, volume II. 编辑:先进治疗药物产品的临床翻译和商业化,第二卷。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fbioe.2026.1746333
Yves Bayon, Alain A Vertès
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引用次数: 0
Hierarchical inverse opal hydrogel coatings for superhydrophobic, antibacterial, and drug-responsive catheter interfaces. 分层反蛋白石水凝胶涂层超疏水,抗菌,和药物反应导管界面。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-27 eCollection Date: 2025-01-01 DOI: 10.3389/fbioe.2025.1741569
Yuegao Liu, Yijun Hou, Kaihong Fei, Songchao Fu, Li Cheng, Lei Zhou, Huibiao Deng, Shuqin Hu

Introduction: Catheter-related infections and biofouling remain critical challenges in clinical practice due to limited surface functionalities and rapid bacterial biofilm formation.

Methods: We developed a universal bottom-up strategy to fabricate hierarchical inverse opal hydrogel coatings on medical catheters via dopamine-mediated substrate activation, dual-layer colloidal assembly, and polymer infiltration, followed by oil infusion to enable adaptive wettability and low-friction liquid mobility.

Results: The coatings exhibited stress-responsive wetting transitions, structural-color-enabled visual monitoring of degradation, and tunable droplet adhesion by modulating pore geometry. In vitro tests showed 98.9% antibacterial efficiency against E. coli, together with excellent hemocompatibility, cytocompatibility, and in vivo biosafety.

Discussion: By integrating passive antifouling, controlled drug release, and real-time structural feedback in a single interface, this platform provides a robust route toward infection-resistant and intelligent catheter devices.

导言:导管相关感染和生物污染仍然是临床实践中的关键挑战,因为导管表面功能有限,细菌生物膜形成迅速。方法:我们开发了一种通用的自下而上的策略,通过多巴胺介导的底物激活、双层胶体组装和聚合物浸润,然后通过油输注来实现自适应润湿性和低摩擦液体流动性,在医用导管上制备分层反蛋白石水凝胶涂层。结果:涂层表现出应力响应的润湿转变,结构颜色支持的降解视觉监测,以及通过调节孔隙几何形状可调节的液滴粘附。体外抑菌率为98.9%,具有良好的血液相容性、细胞相容性和体内生物安全性。讨论:通过在单一界面中集成被动防污,控制药物释放和实时结构反馈,该平台为抗感染和智能导管设备提供了强大的途径。
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引用次数: 0
Hyaluronic acid-coated Poly(L-lactide-co-1,3-trimethylene carbonate) modulate early cellular-scaffold interactions and osteogenic potential: a comprehensive in vitro and in vivo evaluation using mesenchymal stromal cells. 透明质酸包被聚(l -乳酸-co-1,3-三亚碳酸乙烯)调节早期细胞-支架相互作用和成骨潜能:利用间充质间质细胞进行的体外和体内综合评估。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.3389/fbioe.2026.1740154
Øyvind Goksøyr, Mohammed A Yassin, Tove Kivijärvi, Salwa Suliman, Annika Rosén, Anna Finne-Wistrand, Kamal Mustafa

Introduction: Synthetic polymers are widely used in scaffold fabrication but are generally bioinert and hydrophobic, limiting cell adhesion and interaction. Hyaluronic acid (HA) is a ubiquitously expressed polycarbohydrate and a key extracellular matrix component that regulates tissue hydration, cell adhesion, motility, and regeneration. Incorporating HA into synthetic materials presents a promising strategy to enhance hydrophilicity and support biological functions, such as cell adhesion and osteogenic differentiation. This study investigated the effects of HA coating on the physicochemical characteristics and osteogenic potential of poly(L-lactide-co-1,3-trimethylene carbonate) (PLATMC) scaffolds.

Methods: PLATMC scaffolds were coated with HA via immersion. HA stability during sterilization and culture was assessed alongside release kinetics. BMSC responses and osteogenic differentiation were evaluated in vitro and in vivo over six months. Scaffold wettability was analyzed to determine changes in surface hydrophilicity following HA coating.

Results: HA coating improved scaffold wettability in a concentration-dependent manner. HA release was characterized by burst kinetics, becoming undetectable after a few days under in vitro conditions, indicating that HA-driven effects are expected to be strongest during early cell-material interactions. In vitro, human BMSC showed RHAMM upregulation across all HA groups and CD44 upregulation in the 0.5% HA group after 24 hours. Rat BMSC exhibited increased osteocalcin expression, suggesting enhanced osteoinductive activity, corroborated by a trend toward osteopontin upregulation in human BMSC. In vivo, μCT analysis revealed higher tissue density surrounding HA-coated scaffolds at 8 weeks compared to 6 months in a rat subcutaneous implantation model.

Conclusion: HA coating improved scaffold hydrophilicity and promoted early cell adhesion and osteogenic signaling. The findings indicate that HA-coated PLATMC scaffolds support early cellular engagement and osteoconductivity, while long-term outcomes are likely governed by intrinsic scaffold properties. These results highlight the potential of HA-coated PLATMC scaffolds for biofabrication in dentistry, particularly in oral and maxillofacial bone regeneration.

合成聚合物广泛用于支架制造,但通常是生物惰性和疏水的,限制了细胞的粘附和相互作用。透明质酸(HA)是一种普遍表达的多碳水化合物,是调节组织水化、细胞粘附、运动和再生的关键细胞外基质成分。将透明质酸加入到合成材料中是一种很有前途的策略,可以增强材料的亲水性和支持生物功能,如细胞粘附和成骨分化。本研究考察了透明质酸涂层对聚l -乳酸-co-1,3-三亚甲基碳酸酯(PLATMC)支架的理化特性和成骨潜能的影响。方法:采用浸渍法对PLATMC支架进行HA包被。在灭菌和培养过程中评估了透明质酸的稳定性以及释放动力学。在6个月的时间里,我们在体外和体内评估了BMSC的反应和成骨分化。通过分析支架的润湿性来确定羟基磷灰石涂层后支架表面亲水性的变化。结果:羟基磷灰石涂层以浓度依赖性的方式改善了支架的润湿性。HA释放的特征是爆发动力学,在体外条件下几天后变得无法检测到,表明HA驱动的效应预计在早期细胞-物质相互作用中最强。体外培养24小时后,人骨髓间充质干细胞在所有HA组均出现RHAMM上调,0.5% HA组CD44上调。大鼠骨髓间充质干细胞骨钙素表达增加,表明骨诱导活性增强,这与人骨髓间充质干细胞骨桥蛋白上调的趋势相证实。体内μCT分析显示,在大鼠皮下植入模型中,8周时ha包被支架周围的组织密度高于6个月时。结论:透明质酸涂层改善支架亲水性,促进早期细胞粘附和成骨信号传导。研究结果表明,ha涂层的PLATMC支架支持早期细胞接合和骨导电性,而长期结果可能由支架的内在特性决定。这些结果突出了ha涂层PLATMC支架在牙科生物制造方面的潜力,特别是在口腔和颌面骨再生方面。
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引用次数: 0
Research advances in hydrogel-based strategies for thyroid disease management: from diagnosis to therapeutic applications. 基于水凝胶的甲状腺疾病管理策略的研究进展:从诊断到治疗应用。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-26 eCollection Date: 2026-01-01 DOI: 10.3389/fbioe.2026.1735751
Lei Tang, Jing Shen

This comprehensive review examines cutting-edge developments in hydrogel technology for thyroid disease management, encompassing both diagnostic and therapeutic applications. As a promising polymeric biomaterial with a three-dimensional (3D) network structure, hydrogels demonstrate exceptional potential in thyroid disease due to their unique combination of properties: (1) remarkable biocompatibility, (2) precisely tunable physicochemical characteristics, and (3) controlled drug release capabilities. Our analysis systematically evaluates hydrogel applications across the spectrum of thyroid disorders, including (i) diagnostic approaches for thyroid nodules, (ii) therapeutic interventions for endocrine dysfunction (hyperthyroidism, hypothyroidism, and post-thyroidectomy hypoparathyroidism), (iii) innovative treatments for thyroid neoplasms, and (iv) hemostasis, wound healing, repair of thyroid cartilage and laryngeal nerve injuries following thyroid surgery. It focuses on analyzing their advantages and challenges in drug delivery, minimally invasive therapy, tissue engineering, and postoperative care. Finally, future development directions for hydrogels in the field of thyroid disease are discussed.

这篇全面的综述检查了水凝胶技术在甲状腺疾病管理方面的前沿发展,包括诊断和治疗应用。水凝胶作为一种具有三维(3D)网络结构的高分子生物材料,由于其独特的特性组合(1)卓越的生物相容性,(2)精确可调的物理化学特性,(3)可控制的药物释放能力,在甲状腺疾病中显示出非凡的潜力。我们的分析系统地评估了水凝胶在甲状腺疾病中的应用,包括(i)甲状腺结节的诊断方法,(ii)内分泌功能障碍(甲状腺功能亢进、甲状腺功能减退和甲状腺切除术后甲状旁腺功能减退)的治疗干预,(iii)甲状腺肿瘤的创新治疗,以及(iv)甲状腺手术后止血、伤口愈合、甲状腺软骨和喉神经损伤的修复。重点分析了它们在给药、微创治疗、组织工程和术后护理等方面的优势和挑战。最后,对水凝胶在甲状腺疾病领域的发展方向进行了展望。
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引用次数: 0
Comparison of clinical application of locking plate versus cancellous screw in structural autologous bone grafting during TKA for medial tibial bone defects. 锁定钢板与松质螺钉在胫骨内侧骨缺损全髋关节置换术中结构性自体骨移植的临床应用比较。
IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-26 eCollection Date: 2026-01-01 DOI: 10.3389/fbioe.2026.1685551
Nanshan Ma, Yiwei Cheng, Haoyuan Ding, Dapeng Han, Sheng Zhong, Jun Xie, Qing Xia, Jing Zhang, Pengfei Xin, Lianbo Xiao

Objective: To compare the clinical outcomes of locking plate versus cancellous screw fixation in structural autologous bone grafting for medial tibial bone defects during total knee arthroplasty.

Methods: A retrospective analysis was conducted on 66 patients with medial tibial bone defects who underwent TKA between January 2024 and December 2024. Among them, 34 patients received locking plate fixation (LP group), and 32 patients received cancellous screw fixation (CS group). Postoperative outcomes, including the hip-knee-ankle (HKA), Knee Society Score (KSS) and postoperative complications were recorded and compared to evaluate graft integration and functional recovery.

Results: All patients successfully completed the surgery. At the final follow-up, both groups showed significant improvement in HKA angle, KSS Knee Score, and KSS Function Score compared to preoperative values (P < 0.05). However, no statistically significant differences were observed between the two groups at any time point in terms of KSS Knee and Function Scores (P > 0.05). No postoperative complications occurred in either group during the follow-up period.

Conclusion: Compared with conventional cancellous screw fixation, the use of locking plate combined with structural autologous bone grafting provides similarly favorable clinical outcomes. Furthermore, locking plate offer broader intraoperative applicability and may serve as an effective internal fixation strategy for managing medial tibial bone defects during TKA.

目的:比较全膝关节置换术中钢板固定与松质螺钉固定在胫骨内侧骨缺损结构性自体骨移植中的临床效果。方法:回顾性分析2024年1月至2024年12月66例胫骨内侧骨缺损患者行全髋关节置换术的临床资料。其中锁定钢板固定34例(LP组),松质螺钉固定32例(CS组)。记录术后结果,包括髋关节-膝关节-踝关节(HKA)、膝关节社会评分(KSS)和术后并发症,并比较移植物融合和功能恢复情况。结果:所有患者均顺利完成手术。最后随访时,两组患者的HKA角度、KSS膝关节评分、KSS功能评分均较术前有显著改善(P < 0.05)。然而,两组在任何时间点的KSS膝关节和功能评分均无统计学差异(P < 0.05)。两组随访期间均未发生术后并发症。结论:与常规松质螺钉固定相比,锁定钢板联合结构性自体植骨具有同样良好的临床效果。此外,锁定钢板具有更广泛的术中适用性,可作为治疗TKA中胫骨内侧骨缺损的有效内固定策略。
{"title":"Comparison of clinical application of locking plate versus cancellous screw in structural autologous bone grafting during TKA for medial tibial bone defects.","authors":"Nanshan Ma, Yiwei Cheng, Haoyuan Ding, Dapeng Han, Sheng Zhong, Jun Xie, Qing Xia, Jing Zhang, Pengfei Xin, Lianbo Xiao","doi":"10.3389/fbioe.2026.1685551","DOIUrl":"10.3389/fbioe.2026.1685551","url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical outcomes of locking plate versus cancellous screw fixation in structural autologous bone grafting for medial tibial bone defects during total knee arthroplasty.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 66 patients with medial tibial bone defects who underwent TKA between January 2024 and December 2024. Among them, 34 patients received locking plate fixation (LP group), and 32 patients received cancellous screw fixation (CS group). Postoperative outcomes, including the hip-knee-ankle (HKA), Knee Society Score (KSS) and postoperative complications were recorded and compared to evaluate graft integration and functional recovery.</p><p><strong>Results: </strong>All patients successfully completed the surgery. At the final follow-up, both groups showed significant improvement in HKA angle, KSS Knee Score, and KSS Function Score compared to preoperative values (P < 0.05). However, no statistically significant differences were observed between the two groups at any time point in terms of KSS Knee and Function Scores (P > 0.05). No postoperative complications occurred in either group during the follow-up period.</p><p><strong>Conclusion: </strong>Compared with conventional cancellous screw fixation, the use of locking plate combined with structural autologous bone grafting provides similarly favorable clinical outcomes. Furthermore, locking plate offer broader intraoperative applicability and may serve as an effective internal fixation strategy for managing medial tibial bone defects during TKA.</p>","PeriodicalId":12444,"journal":{"name":"Frontiers in Bioengineering and Biotechnology","volume":"14 ","pages":"1685551"},"PeriodicalIF":4.8,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12883814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146156608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Frontiers in Bioengineering and Biotechnology
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