The heating potential of the periosteum Molecular aspects

被引:139
作者
Malizos, KN [1 ]
Papatheodorou, LK [1 ]
机构
[1] Univ Hosp Larissa, Dept Orthopaed, Xiangtan 411105, Peoples R China
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2005年 / 36卷
关键词
fracture; periostium; regeneration; growth factors; CONTINUOUS PASSIVE MOTION; BONE MORPHOGENETIC PROTEINS; FULL-THICKNESS DEFECTS; CHONDROGENESIS IN-VITRO; GROWTH-FACTOR; OSTEOBLAST DIFFERENTIATION; ARTICULAR-CARTILAGE; OSTEOGENIC ACTIVITY; TRANSFORMING GROWTH-FACTOR-BETA-1; CELL-DIFFERENTIATION;
D O I
10.1016/j.injury.2005.07.030
中图分类号
R4 [临床医学];
学科分类号
100218 [急诊医学];
摘要
The presence of pluripotential mesenchymal cells in the under surface of the periosteum in combination with growth factors regularly produced or released after injury, provide this unique tissue with an important rote in the heating of bone and cartilage. The periosteum contributes in the secondary callus formation with tells and growth factors and should always be preserved and protected when surgery is performed for the management of a fracture. The current evidence about the cellular interactions, the stimulants and the signalling pathways related to osteogenesis and chondrogenesis is described. An essential knowledge of the basics related to the contribution of the periosteum in the heating of fractures, osteotomies, during the process of distraction osteogenesis and in some degree in the repair of cartilagenous defects, provides the surgeons with a better insight to understand the upcoming "biological" interventions in the management of skeletal injuries. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:13 / 19
页数:7
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