Natural frequency of fracture fragments in the assessment of tibial fracture healing

1984 ◽  
Vol 6 (3) ◽  
pp. 227-229 ◽  
Author(s):  
L.D.M. Nokes ◽  
W.J. Mintowt-Czyzt ◽  
J.A. Fairclough ◽  
I. Mackie ◽  
C. Howard ◽  
...  
Trials ◽  
2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Bernadette G Dijkman ◽  
◽  
Jason W Busse ◽  
Stephen D Walter ◽  
Mohit Bhandari

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Kai Hang ◽  
Li Ying ◽  
Jinwu Bai ◽  
Yibo Wang ◽  
Zhihui Kuang ◽  
...  

Abstract Background Globally, bone fractures are the most common musculoskeletal trauma, and approximately 8–10% of cases that fall into the categories of delayed or non-union healing. To date, there are no efficient pharmacological agents to accelerate the healing of bone fractures. Thus, it is necessary to find new strategies that accelerate bone healing and reduce the incidence of non-union or delayed fracture healing. Previous studies have revealed that the plasminogen activation system has been demonstrated to play an important role in bone metabolism. However, the function of SERPINB2 in the osteogenesis of hBMSCs remains unclear. Therefore, in this study, we investigated the effects and mechanism of SERPINB2 on osteogenic differentiation. Methods We investigated the osteogenesis effects of hBMSCs by both exogenous SerpinB2 protein and SERPINB2 gene silencing in vitro. Cell proliferation assay was used to assess the effect of exogenous SerpinB2 or SERPINB2 silencing on proliferation of hBMSCs. qPCR and Western blotting analysis detected the expression of target genes and proteins respectively. ALP staining was used to evaluated ALP activity and Alizarin Red staining (ARS) was used to evaluate mineral deposition. In vivo, a murie tibial fracture model was established, histological evaluation and radiographic analysis was used to confirm the therapeutic effects of SERPINB2 silencing in fracture healing. Statistical significance between two groups was determined by Student’s t test, one-way ANOVA or Bonferroni’s post-hoc test according to the distribution of the tested population. Results The addition of exogenous SerpinB2 protein inhibted osteoblast differentiation of hBMSCs in vitro, while SERPINB2 gene silencing significant promote osteoblast differentiation of hBMSCs in vitro. And silenced SERPINB2 gene also increased mineral deposits. Moreover, β-catenin levels were up-regulated by SERPINB2 gene depletion. And the enhancement of osteogenic differentiation induced by SERPINB2 silencing was almost inhibited by specific Wnt/β-catenin signaling pathway inhibitor. In a murine tibial fracture model, local injection of SERPINB2 siRNA improved bone fracture healing. Conclusions Taken together, these findings indicate that SERPINB2 silencing promoted osteogenic differentiation of BMSCs via the Wnt/β-catenin signaling pathway, and silenced SERPINB2 in vivo effectively promotes fracture healing, suggesting that SERPINB2 may be a novel target for bone fracture healing.


2020 ◽  
Vol 2 (3) ◽  
pp. 14-19
Author(s):  
Jianjun Huang ◽  
Songsen Su ◽  
Yongqing Liu ◽  
Haibin Yu

Objective This study aimed to retrospectively compare the efficacy of intramedullary nailing and minimally invasive percutaneous plate osteosynthesis (MIPPO) on the fracture healing of patients with type A tibial fractures. Methods Patients who had been diagnosed with type A tibial fracture (AO classification method) and treated with minimally invasive surgery in our hospital from January 2016 to January 2019 were included in the study. There were 21 patients in the MIPPO group and 27 patients in the intramedullary nailing group. The operation time, intraoperative blood loss, surgical incision length, callus formation time, and fracture healing time of the two groups were analyzed and compared. Results In the intramedullary nailing group, the callus formation time and the fracture healing time were shorter than those in the MIPPO group (P<0.005). Their operation time, intraoperative blood loss, and the surgical incision length were comparable between the two groups. Conclusions For patients with type A tibial fracture and poor wound tissue conditions, intramedullary nailing fixation treatment may be a better choice than MIPPO. Because in patients receiving intramedullary nailing treatment, the callus formation time and fracture healing time are short, and functional exercises can be performed soon after the surgery, which can reduce the occurrence of related complications.


1998 ◽  
Vol 12 (3) ◽  
pp. 200-205 ◽  
Author(s):  
Berton R. Moed ◽  
Eugene C. Kim ◽  
Marnix van Holsbeeck ◽  
Mitchel B. Schaffler ◽  
Sendhil Subramanian ◽  
...  

Orthopedics ◽  
2020 ◽  
Vol 43 (4) ◽  
pp. e323-e328
Author(s):  
Yohan Jang ◽  
Greg Gaski ◽  
Roman Natoli ◽  
Walter Virkus ◽  
Todd Mckinley

PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0180593 ◽  
Author(s):  
Tero Puolakkainen ◽  
Petri Rummukainen ◽  
Jemina Lehto ◽  
Olli Ritvos ◽  
Ari Hiltunen ◽  
...  

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