狗模型膝关节自体和同种异体血管移植的手术技术。

Helvetica chirurgica acta Pub Date : 1994-12-01
R Fricker, D Schäfer, R Rosso, U Lüscher, R Schläpfer, L Filguera, J Brennwald, J Landmann, P Regazzoni, M Heberer
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引用次数: 0

摘要

带血管的犬膝关节实验移植,无论是自体移植还是同种异体移植,迄今为止的并发症发生率都很高。我们现在比较了在我们机构成功进行的4例自体移植和4例同种异体移植。这份报告详细介绍了我们的手术技术。稳定的内固定使移植动物术后立即负重,显微外科端到端吻合腘动脉和静脉以及术后控制免疫抑制是至关重要的。因此,显微外科专家、骨科和创伤外科专家以及免疫学家的跨学科方法似乎是成功的关节移植的先决条件。
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[Surgical technique in vascularized auto- and allotransplantation of the knee joint in a dog model].

Experimental transplantation of vascularized canine knee joints has so far been associated with high complication rates in both auto- and allografts. We have now compared 4 autografts and 4 allografts that were successfully performed at our institution. This report details our surgical technique. Stable internal fixation enabling immediate postoperative weight bearing, microsurgical end-to-end anastomoses of popliteal artery and vein and postoperative control of immunosuppression in transplanted animals are crucial. Thus, an interdisciplinary approach of experts in microsurgery, orthopedic and trauma surgery and immunologists appears to be a prerequisite for successful joint transplantation.

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