Peer-Reviewed Publication
Bone2026;118138.October 18, 2026Journal Article

Preliminary study on early microvascular ingrowth into distracted callus during distraction osteogenesis-A non-invasive approach to explore the early growth patterns and possible mechanism of distraction osteogenesis in vivo.

Juan Li1, Yonghong Zhang2, Yutao Zhang3, Dong Wang4, Wei Luo5, Xiaojin Gao5, Yanping Wang6, Ruhao Zhang7, Yan Li4, Ze Zhang3, Xinghua Wang1, Yanzi Qiao3, Weiwei Wu3, Bojuan Wang1, Hongjie Zhou3, Chaoqi Wang3, Zemin Liu4, Wei Han3, Yanming Zhi3, Jia Li8, Sihe Qin9
1Department of Ultrasound, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China.
2Department of Orthopaedics, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China. Electronic address: yhzhy@139.com.
3Shanxi Medical University, Taiyuan, 030012, China.
4Department of Orthopaedics, Second Hospital of Shanxi Medical University, Taiyuan, 030001, China.
5Guru Medical Equipment Co., Ltd., Taiyuan, 030032, China.
6Shenzhen Mindray Bio-Medical Electronics Co., Ltd., Shenzhen, 518063, China.
7China Academy of Art, Hangzhou, 310002, China.
8Department of Orthopaedics, Chinese PLA General Hospital, Beijing, 100853, China; National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation, Beijing, 100853, China.
9Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, China.

Abstract

BACKGROUND: Distraction osteogenesis (DO) is critical for repairing large segmental bone defects. Early callus vascularization is essential for bone regeneration; however, real-time microcirculatory assessment remains lacking. This study aimed to elucidate spatiotemporal microvascular network construction in distracted callus using super-resolution contrast-enhanced ultrasound (SR CEUS) and high-f…

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