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一种减少肌腱修复中间隙形成的新方法。

A novel method for reducing gap formation in tendon repair.

作者信息

Dean Ryan, Sethi Paul

机构信息

New York Medical College, School of Medicine, United States.

ONS Foundation for Clinical Research and Education Inc., 6 Greenwich Office Park, Suite 100, 40 Valley Drive, Greenwich, CT 06831, United States.

出版信息

J Orthop. 2018 Jan 31;15(1):259-263. doi: 10.1016/j.jor.2018.01.054. eCollection 2018 Mar.

DOI:10.1016/j.jor.2018.01.054
PMID:29657480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5895936/
Abstract

BACKGROUND

This study investigates gap formation in tendon repair using a novel tensioning method.

HYPOTHESIS

The novel stitch will demonstrate less gap formation than the other suture configurations tested.

METHODS

Porcine tendons stitched with classic Krackow stitch configurations were compared to a Krackow stitch modified with a proximal Tension-Assist Loop. Each group was cyclically loaded followed by analysis of the tendon-suture construct for gap formation.

RESULTS

The Tension-Assist Loop group produced significantly less gap formation than each of the other stitch groups.

CONCLUSION

Decreasing early gap formation may be beneficial in allowing early rehabilitation and range of motion.

摘要

背景

本研究使用一种新型张紧方法来研究肌腱修复中的间隙形成情况。

假设

与所测试的其他缝合配置相比，新型缝线将显示出更少的间隙形成。

方法

将用经典Krackow缝合配置缝合的猪肌腱与用近端张力辅助环改良的Krackow缝合进行比较。每组进行循环加载，随后分析肌腱-缝线结构的间隙形成情况。

结果

张力辅助环组产生的间隙形成明显少于其他各缝合组。

结论

减少早期间隙形成可能有利于早期康复和活动范围。

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Clin Biomech (Bristol). 2015 May;30(4):377-82. doi: 10.1016/j.clinbiomech.2015.02.009. Epub 2015 Feb 19.
2
Biomechanical comparison of Krackow locking stitch versus nonlocking loop stitch with varying number of throws.不同缝针数的Krackow锁边缝合法与非锁边连续缝合法的生物力学比较
Am J Sports Med. 2014 Dec;42(12):3003-8. doi: 10.1177/0363546514550989. Epub 2014 Sep 30.
3
Fixation of the Achilles tendon insertion using suture button technology.采用缝线纽扣技术固定跟腱止点。
Am J Sports Med. 2012 Sep;40(9):2085-91. doi: 10.1177/0363546512453294. Epub 2012 Jul 16.
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Current concepts in the rehabilitation of an acute rupture of the tendo Achillis.跟腱急性断裂康复的当前概念
J Bone Joint Surg Br. 2012 Jan;94(1):28-31. doi: 10.1302/0301-620X.94B1.28008.
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Material properties of common suture materials in orthopaedic surgery.骨科手术中常用缝合材料的材料特性。
Iowa Orthop J. 2010;30:84-8.
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Novel approach to repair of acute achilles tendon rupture: early recovery without postoperative fixation or orthosis.急性跟腱断裂修复的新方法：术后无需固定或矫形器即可早期恢复。
Am J Sports Med. 2010 Feb;38(2):287-92. doi: 10.1177/0363546509351557. Epub 2009 Dec 31.
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Cyclic load and failure behavior of arthroscopic knots and high strength sutures.关节镜结和高强度缝线的循环载荷与失效行为
Arthroscopy. 2009 Feb;25(2):192-9. doi: 10.1016/j.arthro.2008.09.010. Epub 2008 Nov 17.
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Optimizing Achilles tendon repair: effect of epitendinous suture augmentation on the strength of achilles tendon repairs.优化跟腱修复：腱周缝合增强对跟腱修复强度的影响
Foot Ankle Int. 2008 Apr;29(4):427-32. doi: 10.3113/FAI.2008.0427.
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