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["无人区" 屈指肌腱修复的实验研究]

[Experimental studies of flexor tendon repair in "no man's land"].

作者信息

Wu Y

出版信息

Zhonghua Yi Xue Za Zhi. 1990 Apr;70(4):195-7, 14.

PMID:2167756
Abstract

The FDP of the middle toes of 51 chickens were divided and repaired. All of the chickens were divided into three groups, each had a procedure of protected passive mobilization beginning at 1, 5, 21 postoperative days respectively. Through studies by micrography, light-microscopy, transmission and scanning electronmicroscopy, we found that passive motion beginning at 1 day and 5 days after operation has similar effects on the healing tendons by preventing adhesions, stimulating proliferation of epitenon and remoulding tendon callus. On the basis of the above results, another 32 chickens were used for the following experiments: The effects of early stage passive motion on the results of double tendon repair and free tendon graft in the "No Man's Land". It was disclosed that passive motion can significantly prevent the adhesions between FDS and FDP, but this was less effective on adhesions between FDS nd sheath. For tendon graft, the results of the mobilized side were extraordinarily good, and the free tendon itself had taken part in the healing process.

摘要

对51只鸡的中趾屈肌腱进行离断并修复。所有鸡被分为三组,分别在术后第1天、第5天、第21天开始进行保护性被动活动。通过显微摄影、光学显微镜、透射和扫描电子显微镜研究发现,术后第1天和第5天开始的被动活动对愈合肌腱具有相似的作用,可防止粘连、刺激腱外膜增殖并重塑肌腱痂。基于上述结果,另取32只鸡进行以下实验:早期被动活动对“无人区”双肌腱修复和游离肌腱移植结果的影响。结果表明,被动活动可显著防止指浅屈肌(FDS)与指深屈肌(FDP)之间的粘连,但对FDS与腱鞘之间的粘连效果较差。对于肌腱移植,活动侧的效果非常好,游离肌腱自身参与了愈合过程。

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1
[Experimental studies of flexor tendon repair in "no man's land"].["无人区" 屈指肌腱修复的实验研究]
Zhonghua Yi Xue Za Zhi. 1990 Apr;70(4):195-7, 14.
2
Effects of hydroxyapatite and alumina sheaths on postoperative peritendinous adhesions in chickens.羟基磷灰石和氧化铝鞘对鸡术后肌腱周围粘连的影响。
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