中国现代医学杂志2004，Vol.14Issue(11)：35-37,43,4.
指屈肌腱缝合术后早期主动活动的生物力学研究与临床应用
Biomechanical study and clinical application of early active mobilization after repairing lacerated flexor tendon
黄山东 1昌耘冰 1吴文 1尹飚 1尹庆水 1苏增贵 1朱青安2
作者信息
- 1. 广州军区广州总医院,骨科,广东,广州,5100l0
- 2. 第一军医大学全军临床解剖生物力学实验室,广东,广州,510515
- 折叠
摘要
Abstract
Objective:To determine the effect of early active mobilization on tensile strength of flexor tendon following repair.Methods:A repaired tendon model in New Zealand rabbits was employed.The animals were randomly allocated to either an active or passive mobilization group.The tensile strength of repaired tendons was tested.36 cases of patients(126 tendons)were treated with postoperative active mobilization.Results:The postoperative tensile strength of the active group increased significantly,only decreased slightly on the 10th day compared to the zero time.The postoperative strength of the passive group began to decrease on the 4th day and to minimum on the 14th day,then increased significantly from the 21st day which increased slightly till the 42nd day.According to TAM method,86 tendons were excellent,40 were good,and no tendon ruptures.Conclusions:The tensile strength of the repaired tendons in the active group was increased compared to that in the passive group.The early postoperative active mobilization was safe on condition that the strength of repaired tendons were strong enough.关键词
肌腱/术后治疗/生物力学Key words
tendons/biomeehanics/postoperative mobilization分类
医药卫生引用本文复制引用
黄山东,昌耘冰,吴文,尹飚,尹庆水,苏增贵,朱青安..指屈肌腱缝合术后早期主动活动的生物力学研究与临床应用[J].中国现代医学杂志,2004,14(11):35-37,43,4.
