背景:新型生物材料不仅提供必要的机械支撑,还能促进细胞增殖和分化、诱导骨再生,从而改善治疗效果,为骨再生技术的发展提供了新的视角和方法。目的:通过文献计量学方法可视化分析生物材料在骨再生领域的研究状况及发展前景。方法:在Web...背景:新型生物材料不仅提供必要的机械支撑,还能促进细胞增殖和分化、诱导骨再生,从而改善治疗效果,为骨再生技术的发展提供了新的视角和方法。目的:通过文献计量学方法可视化分析生物材料在骨再生领域的研究状况及发展前景。方法:在Web of Science核心数据库中,精选了数据库建库至2024-09-24关于骨再生和生物材料领域最具影响力的文献500篇,运用VOSviewer和CiteSpace两款工具进行深入的计量学可视化分析,以揭示该领域的研究趋势和核心文献结果与结论:在所选的500篇文献中,中国和美国在发表论文数量和被引用率方面均占据领先地位,而常江是发文最多的作者,发表文章最多的期刊为Acta Biomaterialia。骨再生和材料学是一个跨学科的研究范畴,涵盖了材料科学、生物医学工程、细胞生物学、分子生物学等多个学科领域。骨修复材料的研究正从传统的生物惰性材料向生物活性材料转变,这些材料不仅提供机械支撑,还能促进细胞增殖和分化,诱导骨再生。合成骨修复材料因丰富的来源、可调节的物理化学特性以及较低的免疫排斥和疾病传播风险,正逐渐替代传统材料,成为临床骨移植手术的首选。研究者们正在不断改进这些材料的生物相容性、仿生特性、骨传导性和骨诱导性,使其更接近天然骨,前沿主要集中在生物活性陶瓷、3D打印、水凝胶、壳聚糖、羟基磷灰石等材料。新型材料在骨再生领域中的作用至关重要,随着材料科学技术的不断进步,这些新型材料在骨再生领域的应用前景非常广阔,有望为骨缺损治疗提供更为有效和个性化的治疗方案。展开更多
Complex trimalleolar ankle fractures are a major orthopaedic challenge,with an incidence of 4.22 per 10000 person-years in the United States and an annual cost of 3.4 billion dollars.This review synthesizes current ev...Complex trimalleolar ankle fractures are a major orthopaedic challenge,with an incidence of 4.22 per 10000 person-years in the United States and an annual cost of 3.4 billion dollars.This review synthesizes current evidence on diagnostic protocols and management strategies,highlighting optimal approaches and emerging trends.Initial care emphasizes soft tissue assessment,often guided by the Tscherne classification,and fracture classification systems.External fixation may be required in open injuries,while early open reduction and internal fixation within six days is linked to improved outcomes.Minimally invasive techniques for the lateral malleolus,including intramedullary nailing and locking plates,are effective,while medial malleolus fractures are commonly managed with screw fixation or tension-band wiring.Posterior malleolus fragments involving more than 25%of the articular surface usually warrant fixation.Alternatives to syndesmotic screws,such as cortical buttons or high-strength sutures,reduce the need for secondary procedures.Arthroscopic-assisted open reduction and internal fixation benefits younger,active patients by enabling concurrent management of intra-articular and ligamentous injuries.Postoperative care prioritizes early weight-bearing and validated functional scores.Despite advances,complications remain common,and further research is needed to refine surgical strategies and improve outcomes.展开更多
文摘背景:新型生物材料不仅提供必要的机械支撑,还能促进细胞增殖和分化、诱导骨再生,从而改善治疗效果,为骨再生技术的发展提供了新的视角和方法。目的:通过文献计量学方法可视化分析生物材料在骨再生领域的研究状况及发展前景。方法:在Web of Science核心数据库中,精选了数据库建库至2024-09-24关于骨再生和生物材料领域最具影响力的文献500篇,运用VOSviewer和CiteSpace两款工具进行深入的计量学可视化分析,以揭示该领域的研究趋势和核心文献结果与结论:在所选的500篇文献中,中国和美国在发表论文数量和被引用率方面均占据领先地位,而常江是发文最多的作者,发表文章最多的期刊为Acta Biomaterialia。骨再生和材料学是一个跨学科的研究范畴,涵盖了材料科学、生物医学工程、细胞生物学、分子生物学等多个学科领域。骨修复材料的研究正从传统的生物惰性材料向生物活性材料转变,这些材料不仅提供机械支撑,还能促进细胞增殖和分化,诱导骨再生。合成骨修复材料因丰富的来源、可调节的物理化学特性以及较低的免疫排斥和疾病传播风险,正逐渐替代传统材料,成为临床骨移植手术的首选。研究者们正在不断改进这些材料的生物相容性、仿生特性、骨传导性和骨诱导性,使其更接近天然骨,前沿主要集中在生物活性陶瓷、3D打印、水凝胶、壳聚糖、羟基磷灰石等材料。新型材料在骨再生领域中的作用至关重要,随着材料科学技术的不断进步,这些新型材料在骨再生领域的应用前景非常广阔,有望为骨缺损治疗提供更为有效和个性化的治疗方案。
文摘Complex trimalleolar ankle fractures are a major orthopaedic challenge,with an incidence of 4.22 per 10000 person-years in the United States and an annual cost of 3.4 billion dollars.This review synthesizes current evidence on diagnostic protocols and management strategies,highlighting optimal approaches and emerging trends.Initial care emphasizes soft tissue assessment,often guided by the Tscherne classification,and fracture classification systems.External fixation may be required in open injuries,while early open reduction and internal fixation within six days is linked to improved outcomes.Minimally invasive techniques for the lateral malleolus,including intramedullary nailing and locking plates,are effective,while medial malleolus fractures are commonly managed with screw fixation or tension-band wiring.Posterior malleolus fragments involving more than 25%of the articular surface usually warrant fixation.Alternatives to syndesmotic screws,such as cortical buttons or high-strength sutures,reduce the need for secondary procedures.Arthroscopic-assisted open reduction and internal fixation benefits younger,active patients by enabling concurrent management of intra-articular and ligamentous injuries.Postoperative care prioritizes early weight-bearing and validated functional scores.Despite advances,complications remain common,and further research is needed to refine surgical strategies and improve outcomes.
