骨愈合的解剖学:骨科医学中的骨再生

Qua Khan, F. Malik, Saz Naqvi, T. Kausar, T. Raza, A. Mansoor
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摘要

骨再生是一种生理性的骨形成过程,涉及成年后的常规骨折愈合和持续重塑。本研究的主要目的是确定骨科药物在骨再生和愈合过程中的作用。这项回顾性研究于 2023 年 2 月至 2023 年 6 月在巴基斯坦卡拉奇的一家公立医院进行。研究旨在收集 120 名骨折患者的数据,评估骨愈合的进展情况,以确定成功再生的关键决定因素。为实现研究目标,进行了临床评估、放射成像和组织病理学分析。研究收集了 120 名患者的数据,平均年龄为(45.21±12.3)岁。其中 70 人为男性,50 人为女性。上肢骨折占 40%,下肢骨折占 30%,轴骼骨折占 30%。单纯骨折占 50%,粉碎性骨折占 30%,开放性骨折占 20%。骨折严重程度与放射学愈合所需时间之间存在很强的正相关性,相关系数(r)为 0.65(p < 0.001)。此外,骨转换生物标志物与放射学愈合呈中度正相关,相关系数(r)为 0.45(p = 0.003)。研究得出结论,骨科干预在取得满意疗效方面成功率很高,大多数患者的骨愈合和功能恢复都很成功。
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THE ANATOMY OF BONE HEALING: BONE REGENERATION IN ORTHOPEDIC MEDICINE
Bone regeneration is a physiological bone formation process involved in routine fracture healing and continuous remodeling throughout adult life. The study's main objective is to determine the role of orthopedic medicines in bone regeneration and healing process. This retrospective study was conducted in a public hospital in Karachi, Pakistan, from February 2023 to June 2023. The study aimed to collect data from 120 bone fracture patients and evaluate the progression of bone healing to identify critical determinants of successful regeneration. Clinical assessments, radiological imaging, and histopathological analyses were conducted to achieve the study's objectives. The study collected data from 120 patients, with a mean age of 45.21±12.3 years. Of these, 70 were male and 50 were female. Upper extremities accounted for 40% of fractures, lower extremities 30%, and axial skeleton 30%. Simple fractures accounted for 50% of cases, while comminuted fractures represented 30% and open fractures 20%. There was a strong positive correlation between fracture severity and the time required for radiographic union, with a correlation coefficient (r) of 0.65 (p < 0.001). Additionally, biomarkers of bone turnover exhibited a moderate positive correlation with radiological healing, with a correlation coefficient (r) of 0.45 (p = 0.003). The study concludes that orthopedic interventions have a high success rate in achieving satisfactory outcomes, with the majority of patients experiencing successful bone healing and restoration of function.
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