杨路德;张先龙;王以进;席平昌;高生;

• 1:上海交大附属仁济医院嘉定分院骨科
• 2:上海交大附属第六人民医院骨科
• 3:上海大学生物力学研究所

摘要(Abstract)：

[目的]比较兔急性肘关节尺侧副韧带损伤后手术修复与非手术治疗的差异。[方法]选取新西兰兔81只,随机分为3组,27只暴露出右尺侧副韧带后,但不切断,作为正常对照组(A);27只为切断右肘尺侧副韧带后随即缝合韧带,称为韧带缝合组(B);27只切断尺侧副韧带后不缝合,称为韧带不缝合组(C)。分别在术后3、6、12周三个阶段取材,进行生物力学检测。[结果]术后12周,韧带缝合组断裂时的位移与不缝合组比较,差别有统计学意义[B(6.06±0.44)mm,C(7.72±0.44)mm,P<0.05];缝合组位移接近正常组,差别无统计学意义[A(5.87±0.46)mm,P>0.05];韧带缝合组应变率与不缝合组比较,差别有统计学意义[B(1.25±0.16),C(1.60±0.07),P<0.05],亦与正常组相近[A(1.19±0.13),P>0.05]。[结论]肘关节尺侧副韧带急性损伤后手术治疗明显优于非手术治疗。

关键词(KeyWords)： 肘关节;尺侧副韧带;手术修复;非手术修复;生物力学

Abstract:

Keywords:

基金项目(Foundation): 上海市卫生局立项课题基金资助(编号:2007048)

作者(Author): 杨路德;张先龙;王以进;席平昌;高生;

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DOI:

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