Wray R C, Moucharafieh B, Weeks P M
Plast Reconstr Surg. 1978 Feb;61(2):184-9. doi: 10.1097/00006534-197802000-00005.
We have attempted to define the optimal time for tenolysis by evaluating the blood supply, the rupture rate, and the tensile strength of tenolysed and control tendons. In 128 chickens tenolysis was performed 1, 3, 6, 12, 16, and 24 weeks after primary tendon repair. Tenolysis at 1 and 3 weeks resulted in devascularization, weak tendons, and high rupture rates. Tenolysis at 6 weeks after the primary repair had mixed effects on the blood supply but weakened the tendon. Tenolysis at 12 weeks after the tendon repair did not weaken the tendon and resulted in an increased blood supply. Tenolysis at 16 and 24 weeks did not weaken the tendon, but had varied effects on the blood supply. We recommend an interval of 12 weeks between primary tendon repair and tenolysis.
我们试图通过评估血液供应、断裂率以及松解肌腱与对照肌腱的拉伸强度来确定肌腱松解的最佳时间。在128只鸡中，初次肌腱修复后1、3、6、12、16和24周进行肌腱松解。1周和3周时进行肌腱松解导致血管化缺失、肌腱薄弱以及高断裂率。初次修复后6周进行肌腱松解对血液供应有混合影响，但会使肌腱变弱。肌腱修复后12周进行肌腱松解不会使肌腱变弱，且会使血液供应增加。16周和24周时进行肌腱松解不会使肌腱变弱，但对血液供应有不同影响。我们建议初次肌腱修复与肌腱松解之间间隔12周。
