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半月板缝合技术:一项对比性生物力学尸体研究

Meniscus suture techniques: a comparative biomechanical cadaver study.

作者信息

Kohn D, Siebert W

机构信息

Orthopaedic Hospital, Hannover Medical School, F.R.G.

出版信息

Arthroscopy. 1989;5(4):324-7. doi: 10.1016/0749-8063(89)90150-3.

DOI:10.1016/0749-8063(89)90150-3
PMID:2686667
Abstract

The primary stability of four common meniscus suture techniques was tested on human cadaver menisci. The test series was carried out under standard conditions (25 degrees C, 100% air humidity) using the Instron 1122 Tensometer. The tearing stress of different sutures was reproducible in different specimens dependent only on the suture technique. Knot-end techniques gave inferior results (tearing stress, 24 +/- 9 N) compared with arthroscopic techniques using a loop placed on the meniscus surface (tearing stress, 89 +/- 4 N). When an open meniscus repair is performed, a vertical stitching technique (tearing stress, 105 +/- 4 N) should be the preferred method. Horizontal sutures are weaker (tearing stress, 44 +/- 18 N).

摘要

在人体尸体半月板上测试了四种常见半月板缝合技术的初始稳定性。测试系列在标准条件(25摄氏度,100%空气湿度)下使用Instron 1122张力计进行。不同缝线的撕裂应力在不同标本中具有可重复性,仅取决于缝合技术。与在半月板表面放置环的关节镜技术(撕裂应力,89±4 N)相比,结端技术的结果较差(撕裂应力,24±9 N)。当进行开放性半月板修复时,垂直缝合技术(撕裂应力,105±4 N)应是首选方法。水平缝线的强度较弱(撕裂应力,44±18 N)。

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