不经骺板仅经过干骺端重建前交叉韧带动物实验-animal experiment of reconstructing anterior cruciate ligament only through metaphysis without epiphyseal plate.docx
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不经骺板仅经过干骺端重建前交叉韧带动物实验-animal experiment of reconstructing anterior cruciate ligament only through metaphysis without epiphyseal plate
An AnimalExperimentsofReconstruction the Anterior Cruciate Ligament though EpiphysealPlate but notMetaphysicAbstractObjectiveToexploretheeffectofthetwowaysoffemoralepiphysealplateafter the metaphysis or not only throughthe femoral epiphyseal platereconstructionoftheanteriorcruciateligamentof lowerlimbgrowthMethods4-6monthsof18healthyyoung goatwasasaresearchobject.TheywererandomlydividedintoA,B,C,threegroupsofsix.Ablankgroup(withoutanytreatment),Group Basastandardcontrolgroup(withadiameterof 4.5mm-5.5mm stainless steel screw from the femoral condyle about3cm-4cmatobliquethroughtheepiphysealplateandepiphysistoreachfemoralintercondylarfossa),groupCastheexperimentalgroup(withadiameterof4.5mm-5.5mmstainlesssteelscrewfromthefemoralcondyleofabout1cmattheramprampagethroughtheepiphysistoreachthefemoralintercondylarfossabutnotaftertheepiphysis)ConclusionsThereisnosignificantdifferenceaboutthesetwokinds ofsurgeryonlowerlimbgrowthanddevelopmentafter1yearofobservation.Bythecross-ligamentinthethereconstructionoftheanteriorofsharesepiphysis board there are the the the the advantagesof of the longreconstruction oftheanatomy reconstructionandand so on,and theoperationisissimple.Notdamagetheepiphysealplatecanbeavoidedbythereconstructionoftheepiphysealplate,butthehighertechnicalrequirements,isnoteasytograsp.Thisexperimentcomparedthreegroupsofexperimentstoprovethatthereconstructionofthecruciateligamentcruciateligamentwithoutepiphysealplateonlyaftertheepiphysealsidereconstructionof lowerlimbdevelopmentthroughtheepiphysealplate.In clinicalpracticeshouldbemoreinclinedtochoosetheepiphysealplatereconstructionsurgery.Keywords ACLreconstruction;epiphysealplates;growthanddevelopment背景少年儿童交叉韧带(crucialligament,CL)损伤曾经被认为是罕见病,主要临床表现为:患膝受损伤时,常可闻撕裂音或有撕裂感倒地,膝部剧烈疼痛,迅速肿胀,关节功能障碍,抽屉试验阳性。但随着竞技体育运动的普及和交通事故的日益增多,少年儿童交叉韧带损伤的发生逐渐增加。同时,磁共振和关节镜诊断技术应用的增加,也使早期诊断率提高。但是,治疗方法仍然是困扰临床医生的难题,因此,研究本病的治疗方法已成为社会的迫切需要,这对提高少年儿童的生活质量具有重要的社会意义。少年儿童膝部生长发育具有独特的解剖、生理特性,其下肢全长生长的65%源于膝部骺板,其中股骨骺板占37%,胫骨骺板占28%,且骨骼发育未成熟。传统的成人交叉韧带重建手
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