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前交叉韧带重建术中移植物胫骨端固定方式研究进展
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作者 杨登军 王福科 +3 位作者 张奇爱 张瑶璋 申屠昊鹏 王凡 《中国修复重建外科杂志》 CAS CSCD 北大核心 2023年第9期1162-1168,共7页
目的 对前交叉韧带(anterior cruciate ligament,ACL)重建术中移植物胫骨端固定方式的研究进行综述,以期为临床提供参考。方法 广泛查阅近年来国内外关于ACL重建移植物胫骨端固定方式的文献,并对影响固定方式选择的因素进行总结分析。结... 目的 对前交叉韧带(anterior cruciate ligament,ACL)重建术中移植物胫骨端固定方式的研究进行综述,以期为临床提供参考。方法 广泛查阅近年来国内外关于ACL重建移植物胫骨端固定方式的文献,并对影响固定方式选择的因素进行总结分析。结果 ACL重建术中移植物胫骨端固定时,主要考虑膝关节屈曲角、移植物张力及移植物固定装置3个因素。目前主要选择在膝关节屈曲0°或30°位固定移植物,研究显示30°位固定后膝关节稳定性更好,而0°位固定后伸膝受限发生率降低。在移植物张力方面,选择接近90 N张力水平或膝关节屈曲30°位时患膝前后松弛度恢复至相对于健侧膝关节过度约束2 mm,可获得良好疗效;关于移植物固定装置,界面螺钉仍是移植物胫骨端固定最常用方式;随着近年来全内ACL重建术式的推广,皮质悬吊固定可能成为主流。结论 关节镜下重建是ACL断裂主要治疗手段,但移植物胫骨端尚无最佳固定方式,各固定方式优劣有待进一步研究。 展开更多
关键词 前交叉韧带 膝关节屈曲角 移植物张力 移植物固定
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EXPERIMENTAL STUDY ON INFLUENCE OF MUSCLE TENSION TOWARDS THE FUNCTION OF THE SKELETAL MUSCLE FOLLOWING ITS REINNERVATION
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作者 Pramod DEVKOTA 曾炳芳 +3 位作者 范存义 唐剑飞 眭述平 姜佩珠 《Journal of Shanghai Second Medical University(Foreign Language Edition)》 2004年第1期37-41,共5页
Objective To investigate the influence of tension on the function of the denervated skeletalmuscle after its reinnervation. Methods Fifty-four Sprague-Dawley (SD) rats were randomly divided into 3 groups. The left gas... Objective To investigate the influence of tension on the function of the denervated skeletalmuscle after its reinnervation. Methods Fifty-four Sprague-Dawley (SD) rats were randomly divided into 3 groups. The left gastrocnemius muscles of the rats were dissected with only the neurovascular pedicles intact; the tib-ial nerves were cut and immediately repaired by epineurial suture. Then the Achilles tendons were isolated and treated accordingly; the Achilles tendon was lengthened by 0. 5cm in lengthened group, shortened by 0. 5cm in shortened group and left alone in normal (control) group. In the 2nd, 4th and 8th week after operation, the isometric twitch contractile force of both the right and the left gastrocnemius muscles were measured; specimens were taken from gastrocnemius muscle for histological study by light microscope. Results In comparison between the groups, the gastrocnemius muscles in the shortened group showed less severe muscle atrophy and connective tissue proliferation, bigger diameter and cross section dimension of the muscle fiber and greater isometric twitch contractile strength of the bilateral gastrocnemius muscles than those in the normal and lengthened groups in all the postoperative periods. Conclusion A proper high tension of the muscle may improve the function of the denervated skeletal muscle after its reinnervation. 展开更多
关键词 tension skeletal muscle reinnervation
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