Matthews P, Richards H
J Bone Joint Surg Br. 1976 May;58(2):230-6. doi: 10.1302/0301-620X.58B2.777010.
The effects of splintage, suture and excision of the tendon sheath on the healing of incompletely transected flexor tendons in the rabbit have been evaluated separately and in various combinations. When all procedures were done together, repair was accompanied by dense adhesion formation with little evidence of any healing activity by the tendon cells. The experiments indicated that the adhesions were the result not of any one single factor studied but of all three contributing in varying degrees. Suturing produced the most adhesions but synovial sheath excision and immobilisation also contributed. It is suggested that these factors are also responsible for the adhesions which occur after flexor tendon repair in clinical practice.
分别评估了夹板固定、腱鞘缝合和切除对兔不完全横断屈肌腱愈合的影响，并进行了各种组合。当所有操作同时进行时，修复伴随着致密粘连的形成，几乎没有肌腱细胞愈合活动的迹象。实验表明，粘连并非所研究的任何单一因素造成的，而是这三个因素不同程度共同作用的结果。缝合产生的粘连最多，但滑膜鞘切除和固定也有影响。有人认为，这些因素也是临床实践中屈肌腱修复后发生粘连的原因。
