改进Herbert螺钉修复髌韧带断裂的实验研究
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Biomechanical Evaluation of Modified Herbert Screw as Suture Anchor in Repairing Patellar Ligament
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    摘要:

    目的 采用改进的Herbert螺钉修复髌韧带断裂,对其修复强度进行生物力学检测,明确该方法是否优于目前临床常用的骨钻孔修补法。方法 (1)22只新鲜羊膝关节标本在靠近胫骨结节6mm处切断髌韧带。分成两组,螺钉组和缝合组,分别对髌韧带进行修补缝合。测量缝合后髌韧带断裂时瞬间拉力和最大承受拉力。(2)11只活体狗手术切断双侧后腿髌韧带后,分别用螺钉和单纯缝合方法进行修补,4周后观察韧带愈合情况,并进行力学测试。结果 (1)螺钉组羊髌韧带缝合后断裂平均瞬间拉力为(71.13±14.23)N,缝合组为(46.09±8.41)N,两组间有显著差异(P<0.05)。螺钉组的平均最大拉力为(80.46±11.73)N,缝合组为(54.60±9.79)N,两组间亦有显著差异(P<0.05)。(2)活体狗螺钉组髌韧带完全愈合5例,缝合组2例。螺钉组平均断裂瞬间拉力为(202.99±12.17)N,缝合组为(162.41±15.80)N(P<0.05)。螺钉组最大拉力为(219.69±15.73)N,缝合组为(177.92±15.31)N(P<0.05)。结论 对于近止点的韧带断裂,改进的Herbert螺钉优于骨钻孔修补方法。

    Abstract:

    Objective To evaluate the biomechanical properties of a modified Herbert screw as a suture anchor in repairing patellar ligament. Method 1) twenty-two fresh goat knee joints were divided into two groups: screw and suture group. All patellar ligaments were cut at the site 6mm proximal to tibia tuberosity. In the screw group, modified Herbert screw acted as a suture anchor in repairing the patellar ligament. In the suture group, patellar ligament was simply sutured according the Kessler method. Tensile force at failure and maximum tensile force were measured. 2)twenty-two hind legs of 11 hybrid canines were divided into two groups: screw and suture group. The patellar ligaments were treated respectively as mentioned before. 4 weeks after operation, the patellar ligaments were inspected and measured. Result 1) For goat knee joints, the average tensile force at failure was (71.13±14.23) N in the screw group and (46.09±8.41) N in the suture group, respectively (P<0.05). The average maximum tensile force was (80.46±11.73) N in screw group, (54.60± 9.79)N in suture group, (P<0.05).2) There were 5 cases in the screw group of canine showed complete healing of the patellar ligament while there were 2 cases shown in the suture group. The average tensile force at failure was (202.99±12.17) N in the screw group and (162.41±15.80) N in the suture group (P<0.05). The average maximum tensile force was (219.69±15.73) N in the screw group and(177.92±15.31)N in the suture group(P<0.05). Conclusions The modified Herbert screw as a suture anchor was a good choice for repairing the torn ligament near its insertion.

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陆骅,王伟,倪斌斌.改进Herbert螺钉修复髌韧带断裂的实验研究[J].医用生物力学,2009,24(4):281-284

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  • 收稿日期:2009-01-25
  • 最后修改日期:2009-03-25
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