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两种4股交叉屈肌腱缝合方法的生物力学比较

Biomechanical Comparison of two Suture Methods of 4-stranded Crossed Flexor Tendon

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目的 探究运用Mclarney与Adelaide缝合法在猪趾屈肌腱生物力学中的性能.方法 取新鲜冷冻猪前蹄趾深屈肌腱40条,按随机数表法分为两组.A组采用Adelaide法缝合肌腱,B组采用McLarney法缝合肌腱.在生物力学机上拉伸肌腱,记录肌腱2 mm间隙时的负荷与肌腱断裂时最大拉伸负荷,检查记录肌腱失效模式.结果 两组2 mm间隙负荷分别为(50.06±4.47)N、(31.26±2.67)N,最大负荷分别为(69.09±5.11)N、(48.58±4.41)N;两组2 mm间隙负荷、最大负荷之间差异有统计学意义(P=0.001,P<0.05);A组有17例缝线断裂、3例肌腱撕脱;B组有4例缝线断裂、16例肌腱撕脱.结论 Adelaide缝合法比Mclarney缝合法有更好的力学性能,可以提供更大的抗张强度,能够为患者术后早期主动功能锻炼提供安全保障.
Objective To explore the biomechanical properties of the suture of Mclarney and Adelaide in the flexor digitorum tendon of pigs.Methods Forty fresh frozen tendons of deep flexor digitorum profundus of pig's forefoot were randomly divided into two groups:group A suture tendons by Adelaide method,and group B suture tendons by Mclarney method.Stretch the tendon on a biomechanical machine,record the load when the tendon is 2 mm apart and the maximum tensile load when the tendon breaks,and check and record the failure mode of the tendon.Results The 2 mm gap load in two groups were(50.06±4.47)N and(31.26±2.67)N re-spectively,and the maximum load was(69.09±5.11)N and(48.58±4.41)N respectively.The 2 mm gap load and maximum load between two groups were statistically different(P=0.001,P<0.05).In group A,there were 17 cases of suture rupture and 3 cases of tendon avulsion.In group B,there were 4 cases of suture rupture and 16 cases of tendon avulsion.Conclusion Adelaide suture has better mechanical properties than Mclarney,and can provide greater tensile strength,which can provide safety guarantee for patients'early active functional exercise after operation.

flexor tendonSuture methodbiomechanics

丁皓、王继宏

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内蒙古医科大学,呼和浩特 010110

内蒙古医科大学第二附属医院,呼和浩特 010000

屈肌腱 缝合方法 生物力学

内蒙古自治区科技计划

2021GG0206

2024

内蒙古医学杂志
内蒙古自治区医学会

内蒙古医学杂志

影响因子:0.537
ISSN:1004-0951
年,卷(期):2024.56(2)
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