摘要

Purpose of this study was to repair achilles tendon rupture with protection of the integrity of the tendon without the need for the joint immobilization and prevent the complications reported with other techniques. For this purpose, mostly used techniques, Krackow, Modified Kessleer, Bunnel techniques were compared with the newly developed technique using the objective histologic and biomechanic criteria. Depending on the preliminary results of the pull-out tests, 6 tendons were included at each group, consisting of four groups totally. Operations were performed under the anesthesia of xylazine hydrochlorur, bupivacain HCI. At group 1, imlant prepared from the flexible polyethylene material was used. Krackow technique at group 2, Modified Kessler technique at group 3, Bunnell technique at group 4 were utilized. Rabbits were euthanised at 6th week postoperatively by use of overdose of sodium pentobarbital (50 mg/kg). While there was no difference between groups at histological analysis, at biomechanical analysis ultimate load to failure was found to be higher than all other techniques. Depending on these results, newly described technique can be applied clinically and may help to solve this orthopaedic problem.

  • 出版日期2010
  • 单位中国人民解放军军事医学科学院