全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
-  2017 

前交叉韧带重建肌腱移植物内预置高强度缝线预防蠕变的实验研究

DOI: doi:10.7507/1002-1892.201609114

Keywords: 松弛, 蠕变, 前交叉韧带, 肌腱移植, 手术治疗

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的 探讨前交叉韧带(anterior cruciate ligament,ACL)重建术肌腱移植物预置高强度线防治术后移植物蠕变松弛的可行性。 方法 选取成年猪双侧跟腱制备 ACL 重建移植物标本 36 个,随机分为 A、B、C、D 4 组,每组 9 个标本;其中 A、C 组为实验组,B、D 组为对照组。A、C 组肌腱内预置 1 根双股 Ultrabraid 高强度2 号缝线。A、B 组及 C、D 组分别进行 1 000 次及 3 000 次循环负荷试验,观察并测量各组移植物于 100、500、1 000、2 000、3 000次循环时的松弛度,并测量 C、D 组的失效载荷。 结果 A 组各循环次数下移植物松弛度均小于 B 组,100、500、1 000 次循环下两组松弛度比较差异有统计学意义(P<0.05);C 组各循环次数下移植物松弛度均小于 D 组,差异均有统计学意义(P<0.05)。且 C 组失效载荷显著高于 D 组,差异有统计学意义(t=4.816,P=0.001)。 结论 ACL 重建术中肌腱移植物预置高强度缝线,对防止移植物松弛具有重要作用

References

[1]  2. Pauzenberger L, Syré S, Schurz M. “Ligamentization” in hamstring tendon grafts after anterior cruciate ligament reconstruction: a systematic review of the literature and a glimpse into the future. Arthroscopy, 2013, 29(10): 1712-1721.
[2]  5. 刘畅, 刘玉杰. 关节镜下前交叉韧带重建术中移植物固定方法的研究进展. 中华腔镜外科杂志 (电子版), 2013, 6(1): 54-58.
[3]  7. Barber FA, Herbert MA, Beavis RC. Cyclic load and failure behavior of arthroscopic knots and high strength sutures. Arthroscopy, 2009, 25(2): 192-199.
[4]  8. Collin P, Laubster E, Denard PJ, et al. The Nice knot as an improvement on current knot options: A mechanical analysis. Orthop Traumatol Surg Res, 2016, 102(3): 293-296.
[5]  9. Shah MR, Strauss EJ, Kaplan K, et al. Initial loop and knot security of arthroscopic knots using high-strength sutures. Arthroscopy, 2007, 23(8): 884-888.
[6]  23. Jung HJ, Vangipuram G, Fisher MB, et al. The effects of multiple freeze-thaw cycles on the biomechanical properties of the human bone-patellar tendon-bone allograft. J Orthop Res, 2011, 29(8): 1193-1198.
[7]  4. Ralles S, Agel J, Obermeier M, et al. Incidence of Secondary Intra-articular Injuries With Time to Anterior Cruciate Ligament Reconstruction. Am J Sports Med, 2015, 43(6): 1373-1379.
[8]  10. Petri M, Dratzidis A, Brand S, et al. Suture anchor repair yields better biomechanical properties than transosseous sutures in ruptured quadriceps tendons. Knee Surg Sports Traumatol Arthrosc, 2015, 23(4): 1039-1045.
[9]  11. Herbert A, Jones GL, Ingham E, et al. A biomechanical characterisation of acellular porcine super flexor tendons for use in anterior cruciate ligament replacement: investigation into the effects of fat reduction and bioburden reduction bioprocesses. J Biomech, 2015, 48(1): 22-29.
[10]  12. Bates NA, Myer GD, Shearn JT, et al. Anterior cruciate ligament biomechanics during robotic and mechanical simulations of physiologic and clinical motion tasks: a systematic review and meta-analysis. Clin Biomech (Bristol, Avon), 2015, 30(1): 1-13.
[11]  13. Scheffler SU, Unterhauser FN, Weiler A. Graft remodeling and ligamentization after cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc, 2008, 16(9): 834-842.
[12]  14. Muller B, Bowman KF Jr, Bedi A. ACL graft healing and biologics. Clin Sports Med, 2013, 32(1): 93-109.
[13]  15. Zaffagnini S, De Pasquale V, Marchesini Reggiani L, et al. Electronmicroscopy of the remodelling process in hamstring tendon used as ACL graft. Knee Surg Sports Traumatol Arthrosc, 2010, 18(8): 1052-1058.
[14]  16. Wells HC, Edmonds RL, Kirby N, et al. Collagen fibril diameter and leather strength. J Agric Food Chem, 2013, 61(47): 11524-11531.
[15]  17. Kondo E, Yasuda K, Katsura T, et al. Biomechanical and histological evaluations of the doubled semitendinosus tendon autograft after anterior cruciate ligament reconstruction in sheep. Am J Sports Med, 2012, 40(6): 315-324.
[16]  18. Schindler O. The story of anterior cruciate ligament reconstruction-part 1. J Perioper Pract, 2012, 22(5): 163-171.
[17]  1. ?Van Ginckel A, Verdonk P, Witvrouw E. Cartilage adaptation after anterior cruciate ligament injury and reconstruction: implications for clinical management and research? A systematic review of longitudinal MRI studies. Osteoarthritis Cartilage, 2013, 21(8): 1009-1024.
[18]  3. Mariscalco MW, Magnussen RA, Mehta D, et al. Autograft versus nonirradiated allograft tissue for anterior cruciate ligament reconstruction: a systematic review. Am J Sports Med, 2014, 42(2): 492-499.
[19]  6. Trump M, Palathinkal DM, Beaupre L, et al. In vitro biomechanical testing of anterior cruciate ligament reconstruction: traditional versus physiologically relevant load analysis. Knee, 2011, 18(3): 193-201.
[20]  19. Schindler O. The story of anterior cruciate ligament reconstruction-part 2. J Perioper Pract, 2012, 22(6): 189-196.
[21]  20. Robert H, Es-Sayeh J, Heymann D, et al. Hamstring insertion site healing after anterior cruciate ligament reconstruction in patients with symptomatic hardware or repeat rupture: a histologie study in 12 patients. Arthroscopy, 2003, 19(9): 948-954.
[22]  21. 朱洪江, 郑祥, 关健, 等. 关节镜下前交叉韧带重建术后不同康复方案临床疗效对比. 中国老年学杂志, 2016, 36(10): 2442-2444.
[23]  22. 袁锋, 赵金忠, 王予彬, 等. 骨隧道内植入不同长度自体肌腱重建前交叉韧带生物力学研究. 中国修复重建外科杂志, 2009, 23(3): 290-293.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133