倒刺缝合在肌腱修复中的应用

A. Vijayakumar, Pavan Murdeshwar, Hemang Sanghvi
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引用次数: 0

摘要

手部肌腱撕裂很难治疗,超过25%的患者临床结果不满意,7.7%的患者修复后再次断裂,需要进一步手术治疗。目前可用的缝合材料具有抗拉强度,能够承受远高于主动治疗期间发生的力。目前的缝合技术存在修复体积大、粘连形成和肌腱延迟断裂等缺点。随着Quill™,Vloc™和Stratafix™等更好设计的Barbed缝合线的出现,它为肌腱修复的新研究开辟了一个范围。各种离体研究表明,使用倒刺缝线的四股修复具有与传统修复相似的强度,并且添加延状缝线可以增加修复强度。倒钩缝线修复减少了修复部位的横截面积,这可能转化为减少滑动阻力。有必要进行临床研究,分析倒钩缝合在肌腱修复中的临床效果,并探讨其潜在的优势。关键词:倒刺缝合,Vloc, Quill, Stratafix,肌腱修复,抗滑性,断裂强度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barbed Suture in Tendon Repair
: Hand tendon lacerations are difficult to treat with over 25% of patients achieving an unsatisfactory clinical outcome as assessed by the clinician, and 7.7% of repairs re-rupture, requiring further surgery. The suture materials, which are available today possess tensile strengths capable of withstanding forces far above what occurs during active treatment. The current suture techniques have some disadvantages of bulky repair, adhesion formation and delayed tendon rupture. With availability of better designs of Barbed sutures like Quill™, Vloc™ and Stratafix™ it has opened up a scope for new research into tendon repair. Various ex vivo studies have shown that a four strand repair using barbed suture has similar strength to conventional repair and adding an epitendinous suture adds on to repair strength. The Barbed suture repair reduces the cross sectional area at repair site, which may translate to reduced gliding resistance. There is need for clinical studies to analyze the effectiveness of Barbed suture in tendon repair in clinical setting and explore the potential advantages. Level of evidence II Keywords: Barbed suture, Vloc, Quill, Stratafix, Tendon repair, Gliding resistance, Breaking strength.
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