两种缝合方法修复跟腱断裂的实验与临床分析

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1、两种缝合方法修复跺腱断裂的实验‘-jlKl[床研究ExperimentalandClinicalStudyofTwoSuturingApproachesBackground：RepairingAchillesTendonRuptureAbstractWiththeopportunityofworkandactivityoutdoorsincreasing，Achillestendonrupturehasbecomingmoreandmore，gettingtO18／10000，whichhasseriou

2、slyaffectedpeople’Slivesandwork．TeatmentsofAchillestendonrupture，whichareconservative，percutaneousrepairandopensurgicalrepair．Threeapproacheshavetheirownadvantagesinthemselves．opensurgicalrepairiSthebesttreatmentofthemwithfewercomplicationsandhigherpatien

3、t’Ssatisfaction．ItiSimportantthatearlymotioniStoCalTyoutafteroperation，WhichpromoteshealingAchillestendonandreducinginflammatoryresponse，exudationandpostoperativecomplicationrate．Thebasisofearlymobilizationisrestorationstressenoughsufficiently．Achillesten

4、donsuturingapproach，inthelightoftheflexortendonapproaches．whicharereportedmorethan100methods，suchas‘‘BenuU’’，’’8”andKesslersuturingtechnique，eta1．However，ItiSdifferentbetweenAchillestendonandgeneralflexortendon，theformerlengthandtensionaremuchlarger，manys

5、uturingmethodshadn’tstrongenoughtOresistearlymotionofankle．andwithhighincidenceofAchillestendonreruptureandadhesion．So，peoplehavedevelopedsuturingtechniqueonthebeforebasis．suchasmodifiedKesslerapproach，however，thereliesstillmuchshortcoming．In1995．Watsonfo

6、undimmediatebiomechanicaltensionofKrackowsuturingtechniqueiSbetterthanBunellorKessleroncadaver．Fromthen，theKrackowsuturingmethodrepairingAchillestendonhasbeenreportedagoodresultinclinic．ButtheKrackowapproachrepairingAchillestendonruptureisveryliulereporte

7、dinOUrcountry．111eorganizationandbiomechanicaistrengthofdifferentstageafteroperationhaven’tbeen一-reportedaboutrepairingAchillestendonwithKrako销,approachandmodifiedKesslerapproach．Inmycurrentstudy，twosuturingtechniquesrepairingAchillestendonrupturewasteste

8、dimmediatebiomechanicalstrengthoncadaver．Secondly，Tissueofthetendonandbiomechanicalstrengthwasobservedduringthebiologicalprocessofthetendonhealing，whichtwoapproachesrepairAchillestendonofNewZealandrabbitsatvariousti