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find Author "董乐乐" 2 results
  • EXPERIMENTAL STUDY ON Seprafilm ANTI-ADHESION MEMBRANE COMPOSED OF HYALURONIC ACID DERIVATIVE ON PREVENTION OF TENDON ADHESION IN RABBIT

    Objective To evaluate the feasibility of Seprafilm anti-adhesion membrane, a hyaluronic acid (HA) derivative, on prevention of adhesion in acute injured tendon. Methods Eighteen 4-month-old Chinese white rabbits (half males and half females, weighing 2.0-2.5 kg) were made the laceration models of the bilateral second and third toes of hindpaw. According to different treatments, the rabbits were randomly divided into 4 groups (n=18). The second toe of right hindpaw was wrapped with Seprafilm anti-adhesion membrane (group A); the third toe of right hindpaw was wrapped with polylactic acid membrane (group B); the second toe of left hindpaw was coated with sodium hyaluronate gel (group C); and the third toe of left hindpaw did not treated, as control group (group D). The general condition was observed; the range of motion (ROM) of distal interphalangeal joint was measured; the gross observation and histological observation were performed at 1, 2, and 4 weeks, then the degree of adhesion was graded. Results All rabbits survived to the end of the experiment. There was no significant difference in ROM of distal interphalangeal joint between groups A and B at 1, 2, and 4 weeks (P gt; 0.05). ROM of group A was superior to that of groups C and D at 2 and 4 weeks (P lt; 0.05). The gross and histological observations showed the same result in the grading of adhesion. At 1 week, there was no significant difference in the grading of adhesion among 4 groups (P gt; 0.05); at 2 and 4 weeks, the grading of adhesion in group A was similar to that in group B (P gt; 0.05), and the grading of adhesion in group A was significantly slighter than that in groups C and D (P lt; 0.05). Conclusion Seprafilm anti-adhesion membrane composed of HA derivative can prevent tendon adhesion and improve the joint function in acute tendon injury of rabbits.

    Release date:2016-08-31 05:45 Export PDF Favorites Scan
  • 单切口自体骨- 髌腱中1/3- 骨复合体重建前交叉韧带

    目的 总结采用单切口自体骨- 髌腱中1/3- 骨复合体重建前交叉韧带的临床效果。 方法 2006 年4 月- 2008 年7 月,采用单切口自体骨- 髌腱中1/3- 骨复合体重建32 例前交叉韧带损伤。男23 例,女9 例;年龄19 ~ 43 岁,平均26.4 岁。损伤原因:交通伤12 例,运动伤16 例,摔伤2 例,其他伤2 例。采用国际膝关节评分委员会(International Knee Documentation Committee,IKDC)标准评分:B 级5 例,C 级22 例,D 级5 例;Lysholm 评分为(43.6 ± 3.1)分。急性损伤27 例,陈旧性损伤5 例;受伤至手术时间3 d ~ 2 年,平均2.5 个月。 结果 术后切口均Ⅰ期愈合,膝关节均无感染发生。32 例均获随访,随访时间1 ~ 2 年,平均15.6 个月。术后7 个月1 例膝关节伸直受限10°;术后2 年2 例膝关节关节屈曲≤ 120°。术后18 个月3 例前抽屉试验弱阳性。术后IKDC 评分:A 级28 例,B 级3 例,C 级1 例;Lysholm评分为(91.3 ± 4.6)分,与术前比较差异有统计学意义(P lt; 0.01)。 结 论 采用单切口自体骨- 髌腱中1/3- 骨复合体重建前交叉韧带临床疗效好,且手术创伤小,外形美观。

    Release date:2016-09-01 09:08 Export PDF Favorites Scan
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