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        半月板的生物力学及其损伤修复的研究进展

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        关键词: 半月板 生物 力学

          临床工作中,在膝关节创伤时,经常会遇到半月板损伤。在现今,人们对半月板的生物 力学功能进行许多研究[3~9],越来越认识到半月板的生物 力学功能重要性,认为不宜简单地将拐伤半月板切除,而应修复它们,但半月板无血液供应区的损伤修复后不能愈合,这是骨科界的难题之一、为此人们亦进行了许多研究[10~16]。

          参考文献:

          [1]Arnoczky SP, Warren RF. Microvasculature of the human meniscus. Am J sport med, 1982, 10: 90~95.

          [2]Ghosh P, Taylor TKF. The knee joint meniscus: a fibrocartilage of some distinction. Clin orthop, 1987, 224: 52~63.

          [3]Proctor CS, Schmidt MB, Wipple RR, et al. Material properties of the mormal medial bovine meniscus. J Orthop res, 1989, 7: 771~782.

          [4]Goertzen D, Gillquist J, Messner K. Tensile strenth of the meniscal attachments in the rabbits. J Biomed Mater res, 1996, 30: 125~128.

          [5]Toru, Fukubayashi, Kurosowa.The contact area pressure distribution pattern of the knee. Act Orthop Scand, 1980, 51: 871~879.

          [6]Gao J, Messner K. Natural healing of anterior and posterior attachments of the rabbit meniscus. Clin orthop, 1996, 328: 276~284.

          [7]Bylski-Austrow DI, Ciarelli MJ, Kayner DC, et al. Displacement of meniscus under joint load: an in vitro study in human knees. J biomechan, 1994, 27: 421~431.

          [8]Shoemaker SC, Markolf KL. The role of meniscus in the anterior-posterior stability of the loaded anterior cruciate-deficient knee. J Bone Joint Surg, 1986, 68: 71~79.

          [9]Volosin AS, Wosk J. Shock absorption of meniscectomized and painful knees:a comparative in vivo study. J Biomed engin, 1983, 5: 157~161.

          [10]Heatly FW. The meniscus-can it be repaired? An experimental investigation in rabbits. J Bono, Joint surg, 1980, 62: 397~402.

          [11]Gershuni DH, Skyhar MJ, Danzig LA, et al. Experimental models to promote healing of tears in the avascular segment of canine menisci. J Bone Joint surg, 1989, 71: 1363~1370.

          [12]Arnoczky SP, Warren MF, Spivok JM, et al. Meniscal repair using an exogenuous fibrin clot. J Bone Joint surg, 1988, 70: 1209~1217.

          [13]Shirakura KJ, Niijima M, kubona Y. Free synovium prommotes meniscal healing. Acta Orthop Scand, 1997, 68: 51~54.

          [14]Hashimoto J, Kurosoka M, Yoshiya S, et al. Meniscal repair using fibrin sealant and endothelial cell growth factor, an experimental study in dogs. Am J sport med, 1992, 20: 537~541.

          [15]Henning CE, Lynch MA, Ycarout KM, et al. Arthroscopic meniscal repair using an exogerous fibrin clot. Clin orthop, 1990, 252: 64~72.

          [16]De-Groot JH, Zijlstra FM, Kuipers HW, et al. Menical tissue regeneration in porous 50/50 copoly implant. 1997, 18: 613~622.

         

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