SODIUM HYALURONATE AS AN ADJUNCT IN ADHESION PREVENTION AFTER FLEXOR TENDON SURGERY IN RABBITS

被引:80
作者
HAGBERG, L
GERDIN, B
机构
[1] Department of Hand Surgery, University of Lund, Malmö Allmänna Sjukhus, Malmö
[2] Department of Experimental Medicine, Pharmacia, Uppsala
[3] Department of Surgery, University Hospital, Uppsala
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 05期
关键词
D O I
10.1016/0363-5023(92)90474-4
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
Topical application of sodium-hyaluronate (NaHe) has been proposed to decrease the formation of adhesions after tendon surgery, but reports published thus far have been contradictory. A new test instrument capable of simultaneous registration of tensile load, tendon excursion, and joint motion was therefore developed and used to evaluate the effect of locally administered NaHe of different concentrations and molecular weights on the outcome after tenorrhaphy of rabbit hindlimb flexor tendons. Immediately after tenorrhaphy, NaHe or saline solution was deposited into the tendon sheath. The functional characteristics of the digits were evaluated 15 days after surgery. NaHe with a concentration of 19 mg/ml and a molecular weight of 6 x 10(6) significantly limited the strength of the adhesions formed without impairment of tensile strength. These results suggest that the efficacy of NaHe is affected by both the concentration and the molecular weight of the NaHe preparation used.
引用
收藏
页码:935 / 941
页数:7
相关论文
共 25 条
[1]  
Manske, Flexor tendon healing, The Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand, 13 B, pp. 237-245, (1988)
[2]  
Potenza, Critical evaluation of flexor tendon healing and adhesion formation within artificial digital sheaths, J Bone Joint Surg, 45 A, pp. 1217-1233, (1963)
[3]  
Skoog, Persson, An experimental study of the early healing of tendons, Plastic and Reconstructive Surgery, 13, pp. 384-399, (1954)
[4]  
Hagberg, Tengblad, Gerdin, Hyaluronic acid in flexor tendon sheath fluid after sheath reconstructions in rabbits: a comparison between tendon sheath transplantation and conventional two stage procedures, Scand J Plast Reconstr Hand Surg, 25, pp. 103-107, (1991)
[5]  
Swann, Macromolecules of synovial fluid, The joints and synovial fluid, pp. 407-435, (1978)
[6]  
Rydell, Balazs, Effect of intra-articular injection of hyaluronic acid on the clinical symptoms of osteoarthritis and on granulation tissue formation, Clin Orthop, 80, pp. 25-32, (1971)
[7]  
Balazs, Darzynkiewicz, The effect of hyaluronic acid on fibroblasts, mononuclear phagocytes and lymphocytes, Biology of the fibroblast, pp. 237-252, (1973)
[8]  
St. Onge, Weiss, Denlinger, Balazs, A preliminary assessment of Na-hyaluronate injection into “no man's land” for primary flexor tendon repair, Clin Orthop, 146, pp. 269-275, (1980)
[9]  
Yuzawa, Experimental studies on the healing and restoration of gliding function of the injured digital flexor tendon: the use of drugs to prevent adhesion formation of the injured tendon, Nippon Seikeigeka Gakkai Zasshi, 59, pp. 1107-1118, (1985)
[10]  
Weiss, Howard, Denlinger, Suros, Weiss, The role of Na-hylan in reducing postsurgical tendon adhesions, Bull Hosp Joint Dis, 46, pp. 9-15, (1986)