Biomedical subjects
Publications and source records attributed to J F Jiang.
A rat model for free second toe replantation, free hallux-to-thumb transplantation, and combined free hallux-to-thumb transplantation and free second-toe-to-index transfer is described. Experimental devices, operative methods, and the keys to success are discussed.
A new embedding method in tendon suture was designed for interembedding of tendon ends to obtain interlock and strengthen antitension strength. Experiments showed that the embedding method might result in greater antitension strength than the conventional end-to-end method (Bunnell's method) or weaving method. Statistically, difference was significant. Dynamic studies on tendon healing showed that a prominent reaction of surrounding tissues occurred in 3 to 5 days after operation. In this period the antitension strength is likely to decrease and be broken with a rate of 28.1% in Bunnell's method, 5.25% in weaving method and 0% in embedding method. Clinically, the embedding method has been used in 125 cases of tendon-broken repair in which a 87.8% of good and excellent effect was resulted.
Systematic scanning electron microscopic observations of the healing mechanism in the endothelium of rat carotid arteries were carried out at the site of anastomosis. The site of needle holes and stitches are the main locations for thrombocyte adhesion and aggregation in normal vascular anastomosis. The repair process in endothelial injury can be divided into three stages. A thrombocyte-adhesion and filling stage is apparent at 1 hr postoperatively; this is also the period when thrombus is most likely to occur. A fibrin-covering stage is apparent at 2 hr after operation and reaches its peak in 24 hr. The formation of fibrin provides a framework for endothelial growth. In this period, there is still the possibility of thrombus formation. At 48 hr postoperatively, endothelial growth can be seen at the site of some needle holes. At 72 hr after operation, 47 percent of needle holes have endothelial growth, and the possibility of thrombus formation at the anastomotic site declines. The data suggest that eversion of the intima in vascular anastomosis and minimization of endothelial injury by considering the size of the needle hole, the duration of ischemia time, and perfection of surgical technique, are keys to the prevention of thrombus formation at the anastomotic site.