负载速度对曲肌修复的间隙阻力和拉力强度的影响在循环负载试验下
1Department of Hand Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China; Medical School, Nantong University, Nantong, Jiangsu, China.
Journal of biomechanics
|August 10, 2023
概括
加载速度显著影响肌修复的结果. 缓慢的加载速度增加间隙形成,减少修复的硬度,突出显示了手术后受控康复的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 运动医学 运动医学
背景情况:
- 手术后的手指运动对于肌损伤后的功能恢复至关重要.
- 装载速度对修复的肌生物力学的影响在很大程度上仍未被探索.
研究的目的:
- 为了研究不同加载速度对修复的间隙阻力和拉伸强度的影响.
- 为了确定早期肌康复的最佳负载参数.
主要方法:
- 一百只猪 flexor肌经过修复使用4链修改Kessler和双Q.
- 修复后的肌在10到320毫米/分钟的速度下受到循环负荷.
- 测量包括差距形成,刚度和不同加载速度的最终抗拉强度.
主要成果:
- 与更高的速度相比,在最低的加载速度 (10毫米/分钟) 中,Kessler修复的4链修改表现出显著更大的差距和降低的刚性.
- 装载速度没有影响任何修复类型的最终抗拉强度.
- 非常缓慢的加载促进了间隙形成,表明间隙阻力较差.
结论:
- 缓慢的加载速度可能会损害肌修复的完整性,特别是某些接技术.
- 控制,可能更快的加载可能会在手术后的早期活跃手指运动期间提高安全性.
- 结果提供了基于证据的指导,用于制定有效的术后运动方案,以治疗肌损伤.
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