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[膝关节囊韧带手术中可吸收材料的应用。Vicryl和PDS韧带的5年临床经验]

[Capsular ligament surgery of the knee joint with resorbable materials. 5-year clinical experience with Vicryl and PDS ligaments].

作者信息

Diehl K, el-Ahmad M, Franzl K

机构信息

Orthopädische Abteilung, Knappschafts-Klinik Püttlingen/Saar.

出版信息

Z Orthop Ihre Grenzgeb. 1987 Sep-Oct;125(5):467-72. doi: 10.1055/s-2008-1044742.

Abstract

Current methods of capsular ligament surgery of the knee joint are not sufficient stable. Tensions of unloaded movements of the knee joint are appropriate to destruct again the reconstructed capsular ligament mechanism. Immobilisation is required. Additional capsular ligament plastics produced out of absorbable materials (Polyglactin, Polydioxanon) protect safely the reconstructed capsular ligaments from destruction. Early functional treatment is practicable. The ligament plastics seem to stimulate the nature of origin of ligament-similar tissue. The plastic ligaments will be broken down to natural substances byx hydrolysis. An additional surgical excision is not required. Ligament plastics out of Vicryl are recommended.

摘要

目前膝关节囊韧带手术方法的稳定性不足。膝关节无负荷运动的张力足以再次破坏重建的囊韧带结构。需要固定。用可吸收材料(聚乙交酯、聚二氧六环酮)制作的额外囊韧带成形术可安全保护重建的囊韧带不被破坏。早期功能治疗是可行的。韧带成形术似乎能刺激韧带样组织的天然起源。塑料韧带会通过水解分解为天然物质。无需额外的手术切除。推荐使用薇乔制作的韧带成形术。

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