Devkota Pramod, Lei Wang, Bing-Fang Zeng, Jian-Fei Tang, Cun-Yi Fan
Department of Orthopaedic Surgery, Patan Hospital, Lagankhel, Lalitpur, Nepal.
Nepal Med Coll J. 2006 Dec;8(4):227-9.
To investigate the effect of tension on the contractive force of muscle and nerve conduction velocity of the repaired nerve, this study was designed. Fifty-four Sprague-Dawley (SD) rats were randomly divided into 3 groups. The left gastrocnemius muscles of the rats were dissected with the neurovascular pedicles intact; the tibial nerves were cut and immediately repaired by epineurial suture. Then the Achilles tendons were isolated and treated accordingly; the Achilles tendon was lengthened by 0.5 cm in lengthened group, shortened by 0.5 cm in shortened group and left alone in normal (control) group. In the 2nd, 4th and 8th weeks after operation, the isometric twitch contractive force of both the right and the left gastrocnemius muscles and the nerve conduction velocity (NCV) of the tibial nerve were measured. The shortened group showed greater isometric twitch contractive strength of the bilateral gastrocnemius muscles than those in the normal and lengthened groups in all the postoperative periods. The nerve conduction velocity (NCV) in the shortened group showed greater than other groups. A proper high tension of the muscle can increase the contraction of the muscle and may improve the nerve conduction velocity of the repaired nerve.
为研究张力对肌肉收缩力及修复神经的神经传导速度的影响,设计了本研究。将54只Sprague-Dawley(SD)大鼠随机分为3组。在保留神经血管蒂的情况下解剖大鼠左侧腓肠肌;切断胫神经并立即采用神经外膜缝合进行修复。然后分离跟腱并进行相应处理;延长组将跟腱延长0.5 cm,缩短组将跟腱缩短0.5 cm,正常(对照)组则不做处理。在术后第2、4和8周,测量左右两侧腓肠肌的等长收缩力及胫神经的神经传导速度(NCV)。在所有术后时期,缩短组双侧腓肠肌的等长收缩强度均高于正常组和延长组。缩短组的神经传导速度(NCV)高于其他组。适当的高肌肉张力可增加肌肉收缩,并可能改善修复神经的神经传导速度。