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腱鞘炎的外科治疗。临床原理与生物学基础。

The surgical treatment of tendinitis. Clinical rationale and biologic basis.

作者信息

Leadbetter W B, Mooar P A, Lane G J, Lee S J

机构信息

Department of Orthopaedic Surgery, Georgetown University, Washington, DC.

出版信息

Clin Sports Med. 1992 Oct;11(4):679-712.

PMID:1423693
Abstract

The rationale for surgical treatment of tendinitis is to induce a modulation of the tendon cell-matrix environment by either promoting a renewed wound repair cycle or by the removal of aberrant tissue. The adequacy of healing as a result of surgical tendon treatment has been poorly documented histologically; what evidence exists suggests normal tissue is not achieved. The clinical experience of the authors as well as preliminary analysis of wound healing patterns in a longitudinal internal tenotomy rabbit tendo-Achilles model are discussed.

摘要

肌腱炎手术治疗的基本原理是通过促进新的伤口修复周期或清除异常组织来诱导肌腱细胞-基质环境的调节。从组织学角度来看,关于肌腱手术治疗后愈合是否充分的记录很少;现有的证据表明并未实现正常组织的愈合。本文讨论了作者的临床经验以及在纵向内侧跟腱切断术兔跟腱模型中对伤口愈合模式的初步分析。

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