THE EARLY STAGES OF FLEXOR TENDON HEALING - A MORPHOLOGIC STUDY OF THE 1ST 14 DAYS

THE EARLY STAGES OF FLEXOR TENDON HEALING - A MORPHOLOGIC STUDY OF THE 1ST 14 DAYS
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DOI:
10.1016/s0363-5023(85)80151-9
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发表时间:
1985-01-01
影响因子:
1.9
通讯作者:
AKESON, WH
AKESON, WH
中科院分区:
医学3区
文献类型:
--
作者:
GELBERMAN, RH;VANDEBERG, JS;AKESON, WH

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应用光镜和透射电镜观察了早期保护运动的犬屈肌腱修复后早期的形态学变化。在整个修复部位制作两个微米切片。修复部位的结构随着肌腱末端之间形成的间隙程度而变化。每个肌腱的肌腱残端接合良好的地区,和其他地区有高达3毫米的缺陷。一些地区的差距愈合的方式,从外腱显着的细胞反应,而更紧密接合的地区有一个更大的初始腱内反应。在肌腱残端接近的区域,修复部位在第7天实现血运重建,在肌腱末端之间间隙较大的区域,修复部位在第10 - 14天实现血运重建。
Healing canine flexor tendons treated with protected early motion were studied by light and transmission electron microscopy in the ealry stages after repair. Two micrometer sections were made across the repair sites. The repair site configuration varied with the extent of gaps that formed between the tendon ends. Each tendon had areas where the tendon stumps were well coapted, and other areas had defects of up to 3 mm. Some areas had gaps healed by way of a marked cellular response from the epitenon, whereas more closely coapted areas had a greater initial endotenon response. The repair site was revascularized by day 7 in regions with close tendon stump approximation and by 10 to 14 days in regions with larger gaps between the tendon ends.