生物机械分析一种新的奇数线程技术,用于初级曲肌修复后的早期活跃动员
Koji Moriya1, Yutaka Maki1, Hisao Koda1
1Niigata Hand Surgery Foundation, Niigata, Japan.
Journal of hand surgery global online
|August 21, 2024
概括
小说中的塔吉马九号技术提供了一种更简单的方法来修复 flexor. 这种九丝修复方法提供了高的初始张力,有助于肌愈合的早期积极动员.
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
- 手术手术手术手术手术
背景情况:
- 曲肌的修复复杂,通常需要复杂的多链接技术.
- 现有的方法可能具有挑战性,特别是对于经验较少的外科医生来说.
研究的目的:
- 介绍和评估一种新的,简化的九丝技术,用于曲肌的修复,称为塔吉马九丝.
- 为了评估Tajima nines修复方法的生物力学特性.
主要方法:
- 使用塔吉马九技巧切断和修复了14个猪曲肌.
- 修复涉及4-0单纤维尼龙,3链线和两个针,修改了Lim和Tsai的方法.
- 测量了负载到故障的抗拉强度,初始间隙形成力和2毫米间隙形成力.
主要成果:
- 最初的间隙形成力为27.9 ± 7.5 N,而2毫米间隙形成力为39.2 ± 4.7 N.
- 最终的抗拉强度为76.7 ± 17.2 N.
- 失效模式包括线程断裂 (8个肌),结节失效 (3个肌) 和 suture pull-out (3个肌).
结论:
- 塔吉马九号维修在维修现场表现出高初始紧张,负载变化最小.
- 这种技术有望促进曲肌修复的早期活跃动员.
- 塔吉马九项技术的简单性使得它适合于寻求改善初级曲肌修复结果的外科医生.
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