AUGMENTED BECKER VERSUS MODIFIED KESSLER TENORRHAPHY IN MONKEYS - DYNAMIC-MECHANICAL ANALYSIS

被引：35

作者：

GREENWALD, DP

RANDOLPH, MA

HONG, HZ

MAY, JW

机构：

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1995年 / 20A卷 / 02期

关键词：

D O I：

10.1016/S0363-5023(05)80022-X

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The strength and gliding efficiency of an augmented Becker and Kessler tendon repair techniques were compared in fresh cadaver macaque monkey hands. Gliding efficiency was determined by comparing tendon work and load measurements made during tendon excursion to full fist with the same measurements made after tendon repair. Repair strength was then determined by tendon distraction to complete repair rupture. Data were gathered by computer controlled tensiometer and analyzed by factorial and repeated measures ANOVA. The augmented Becker repairs were significantly stronger than Kessler repairs. Repaired tendons required more load and work to bring the fingers into full fist; both repair types resulted in gliding efficiencies of 30% compared to intact controls. The augmented Becker repair is significantly stronger in situ than the modified Kessler and is recommended when early postoperative motion regimens are planned.

引用

页码：267 / 272

页数：6

共 22 条

[1]

Seyfer, Bolger, Effects of unrestricted motion on healing: a study of post traumatic adhesion formation in primate tendons, Plast Reconstr Surg, 83, pp. 122-128, (1989)

[2]

Gelberman, Woo, Lothringer, Akeson, Amiel, Effects of early intermittent passive mobilization on healing canine flexor tendons, J Hand Surg, 7, pp. 170-175, (1982)

[3]

Gelberman, Manske, Akeson, Woo, Lundborg, Amiel, Flexor tendon repair, J Orthop Surg, 4, pp. 119-128, (1986)

[4]

Hitchcock, Light, Bunch, Knight, Satori, Padwardhan, Hollyfield, The effect of immediate constrained digital motion on the strength of flexor tendon repair in the chicken, J Hand Surg, 12 A, pp. 590-595, (1987)

[5]

Feehan, Beauchere, Early tensile properties of healing chicken flexor tendons: early controlled passive motion vs. postoperative immobilization, J Hand Surg, 15 A, pp. 63-68, (1990)

[6]

Mass, LaBarbera, Tuel, Greenwald, Effects of constant mechanical tension on the healing of rabbit flexor tendons in tissue culture, Clin Orthop, 19, pp. 941-947, (1994)

[7]

Becker, Diegelmann, The influence of tension on intrinsic tendon fibroplasia, Orthop Rev, 13, pp. 153-159, (1984)

[8]

Slack, Flint, Thompson, The effect of tensional load on isolated chick tendons in organ culture, Connect Tissue Res, 12, pp. 229-237, (1984)

[9]

Weber, Nutritional pathways for flexor tendons in the digital theca, Tendon surgery in the hand, pp. 91-99, (1987)

[10]

Mason, Allen, The rate of healing tendons an experimental study of tensile strength, Annals of Surgery, 113, pp. 424-459, (1941)

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