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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Evaluation of a New Knotless Suture Anchor Repair in Acute Achilles Tendon Ruptures: A Biomechanical Comparison of Three Techniques
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Evaluation of a New Knotless Suture Anchor Repair in Acute Achilles Tendon Ruptures: A Biomechanical Comparison of Three Techniques

机译:急性阿基里斯肌腱破裂中新的结缝锚修复的评价:三种技术的生物力学比较

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摘要

Acute ruptures of the Achilles tendon are a common injury, and debate has continued in published studies on how best to treat these injuries. Specifically, controversy exists regarding the surgical approaches for Achilles tendon repair when one considers percutaneous versus open repair. The present study investigated the biomechanical strength of 3 different techniques for Achilles tendon repair in a cadaveric model. A total of 36 specimens were divided into 3 groups, each of which received a different construct. The first group received a traditional Krackow suture repair, the second group was repaired using a jig-assisted percutaneous suture, and the third group received a repair using a jig-assisted percutaneous repair modified with suture anchors placed into the calcaneus. The specimens were tested with cyclical loading and to ultimate failure. Cyclical loading showed a trend toward a stronger repair with the use of suture anchors after 10 cycles (p = .295), 500 cycles (p = .120), and 1000 cycles (p = .040). The ultimate load to failure was greatest in the group repaired with the modified knotless technique using the suture anchors (p = .098). The results of the present study show a clear trend toward a stronger construct in Achilles repair using a knotless suture anchor technique, which might translate to a faster return to activity and be more resistant to an early and aggressive rehabilitation protocol. Further clinical studies are warranted to evaluate this technique in a patient population. (C) 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译:阿基里斯腱的急性破裂是常见的伤害,辩论继续发表的研究,了解如何最好地治疗这些伤害。具体而言,存在关于经皮与开放修复的肌腱修复的外科手术方法存在争议。本研究研究了尸体模型中3种不同技术的生物力学强度。将36种样本分为3组,每个标本接收到不同的构建体。第一组接收了传统的Krackow缝合修复,第二组使用JIG辅助经皮缝合修复,第三组使用用缝合锚固件被置于旋转钙的缝合锚来修饰的JIG辅助经皮修复。用循环载荷测试标本并对最终失败进行测试。在10个循环后使用缝线锚(P = .295),500个循环(P = .120)和1000个循环(P = .040),周期性载荷显示趋势较强的修复趋势。在使用缝合锚定的改进的结技术(P = .098),在组修复的组中,最终的失效载荷最大。本研究的结果表明,使用结缝合锚技术,朝阿基里斯修复中的较强构建的结果表明了一种明显的趋势,这可能转化为更快的恢复活动,并更耐受早期和侵略性的康复协议。有必要进一步的临床研究来评估患者人口中的这种技术。 (c)2016年由美国脚和踝外科医院。版权所有。

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