核心缝线屈肌腱修复技术对静态循环运动中滑动阻力和失效负荷的影响：一项人体尸体研究。
The effect of core suture flexor tendon repair techniques on gliding resistance during static cycle motion and load to failure: a human cadaver study.
作者信息
Moriya T, Larson M C, Zhao C, An K-N, Amadio P C
机构信息
Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
出版信息
J Hand Surg Eur Vol. 2012 May;37(4):316-22. doi: 10.1177/1753193411422793. Epub 2011 Oct 10.
Abstract
The purpose of this study was to describe a modification of the Massachusetts General Hospital (MMGH) tendon repair and to compare it with three other suture techniques. Twenty human flexor digitorum profundus (FDP) tendons were randomly assigned to the modified Pennington (MP) suture and the MMGH suture. These were compared to the modified Kessler (MK) and Massachusetts General Hospital (MGH) sutures, using data from a previous study. All tendons were repaired with a similar epitendinous stitch and core sutures of 4-0 FiberWire. There was no significant difference in the normalized gliding resistance within the two-strand or four-strand core repair groups. The MP suture had significantly higher 2 mm gap force and ultimate load to failure than the MK suture. The MMGH suture had significantly higher 2 mm gap force and maximum failure ultimate load than the MGH suture. All repairs failed by knot unravelling.
摘要
本研究的目的是描述一种对麻省总医院（MMGH）肌腱修复方法的改良，并将其与其他三种缝合技术进行比较。将20条人指深屈肌腱（FDP）随机分配至改良彭宁顿（MP）缝合组和MMGH缝合组。利用之前一项研究的数据，将它们与改良凯斯勒（MK）缝合和麻省总医院（MGH）缝合进行比较。所有肌腱均采用相似的腱周缝合和4-0 FiberWire缝线进行核心缝合。在双股或四股核心修复组中，归一化滑动阻力没有显著差异。MP缝合的2mm间隙力和极限破坏载荷显著高于MK缝合。MMGH缝合的2mm间隙力和最大破坏极限载荷显著高于MGH缝合。所有修复均因结松开而失败。
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