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find Author "李明军" 2 results
  • Gustilo Ⅲ型及Sanders Ⅳ型跟骨骨折的治疗

    目的总结手术治疗GustiloⅢ型及Sanders Ⅳ型跟骨骨折的疗效。 方法2011年5月-2014年6月,收治9例GustiloⅢ型及Sanders Ⅳ型跟骨骨折患者。男7例,女2例;年龄21~56岁,平均37.6岁。致伤原因:高处坠落伤7例,交通事故伤2例。左侧6例,右侧3例。伤后至入院时间2~18 h,平均7.2 h。一期行彻底清创、封闭式负压引流(vacuum sealing drainage,VSD)治疗,二期行跟骨骨折复位内固定、小腿内侧胫后动脉穿支皮瓣修复创面。 结果术后2例跟骨内侧创面发生浅表感染、1例跟骨外侧切口愈合不良;其他患者切口均Ⅰ期愈合,皮瓣均顺利成活。患者均获随访,随访时间7~26个月,平均12.8个月。X线片复查示骨折均愈合。末次随访时,根据美国矫形足踝协会(AOFAS)踝与后足评分标准为78~88分,平均81.3分。 结论一期彻底清创、VSD治疗,二期行跟骨内固定及胫后动脉穿支皮瓣移位修复是治疗GustiloⅢ型及Sanders Ⅳ型跟骨骨折的一种有效方法。

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  • Regulation of long non-coding RNA in signal pathways related to osteogenic differentiation

    ObjectiveTo summarize the mechanism of long non-coding RNA (lncRNA) in signal pathways related to osteogenic differentiation. Methods Relevant domestic and foreign researches in recent years were consulted. The characteristics and biological functions of lncRNA were introduced, and the specific mechanism of lncRNA regulating related signal pathways in osteogenic differentiation was elaborated. Results The exertion and maintenance of normal function of bone requires the closed coordination of transcription networks and signal pathways. However, most of these signal pathways or networks are dysregulated under pathological conditions that affect bone homeostasis. lncRNA can regulate the differentiation of various bone cells by activating or inhibiting signal pathways to achieve the balance of bone homeostasis, thereby reversing the pathological state of bones and achieving the purpose of treating bone metabolic diseases. Conclusion At present, the research on the mechanism of lncRNA regulating various osteogenic differentiation pathways is still in the early stage. Its in-depth regulator mechanism, especially the cross-talk of complex signal pathways needs to be further studied. And how to apply these molecular targets to clinical treatment is also a big challenge.

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