Histoacryl glue in meniscal repairs (a biomechanical study)

Histoacryl glue in meniscal repairs (a biomechanical study)
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DOI:
10.1007/s00264-006-0158-z
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发表时间:
2007-04-01
影响因子:
2.7
通讯作者:
Kuyurtar, Fehmi
Kuyurtar, Fehmi
中科院分区:
医学2区
文献类型:
--
作者:
Ayan, Irfan;Colak, Mehmet;Kuyurtar, Fehmi

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本研究的目的是探讨组织丙烯酸酯(氰基丙烯酸酯,N-酯基-2-丁基硅烷)在半月板撕裂修复中的生物力学效果。在我们的研究中,我们研究了三种不同修复技术在延缓2 mm间隙形成方面的初步稳定性。第一组半月板撕裂用两条垂直缝线和Organoacryl缝合,第二组只用Organoacryl缝合,第三组只用两条垂直缝线修复。然后将半月板放入拉伸加载机中,测量修复区的初步稳定性,直到发生2 mm的位移。当垂直缝合和组织丙烯酸胶联合使用时,当垂直缝合和组织丙烯酸胶一起使用时,在0.5、1.0、1.5和2.0 mm的移位时,所有组的生物力学强度都显著(P<0.0 5)高(112.0+/-17.2 0N)。我们认为组织丙烯在延缓缝隙方面优于垂直缝合。它增强了垂直缝合强度的效果,允许早期活动,因此值得体内研究。
The purpose of this study was to investigate the biomechanical efficacy of Histoacryl (cyanoacrylate, N-asetil 2 butyl sistein) in meniscal tear repair. In our study, the primary stability of three different repair techniques in delaying the formation of a gap of 2 mm was investigated. A meniscal tear was repaired with two vertical sutures and Histoacryl in the first group; it was repaired only with Histoacryl in the second group, and with only two vertical sutures in the third group. Menisci were then placed in a tensile loading machine, and the primary stability of the repair zones was measured until a displacement of 2 mm occurred. Biomechanical force was significantly (P < 0.05) high (112.0 +/- 17.20 N) in all groups when vertical suture and Histoacryl glue were used together during displacements of 0.5, 1.0, 1.5 and 2.0 mm. We believe that Histoacryl is superior to vertical sutures regarding gap delaying. It potentiates the effect of vertical suture strength, permits early motion and thus merits an in vivo study.