中国康复Issue(2)：96-98,3.DOI:10.3870/zgkf.2014.02.005
屈指肌腱Ⅱ区与V区修复术后早期主动运动方案的疗效对比
Early rehabilitation after flexor tendon repair：comparison of results following injuries in zone 2 and zone 5
黄琴 1刘莉 1陈燕花 2毛朝琴1
作者信息
- 1. 华中科技大学同济医学院附属协和医院康复科，武汉 430022
- 2. 华中科技大学同济医学院附属协和医院手外科，武汉 430022
- 折叠
摘要
Abstract
Objective :To prospectively study the role of early rehabilitation after flexor tendon repairs in zone 2 and zone 5 .Methods :The primary repair technique was used to repair 90 digits in 38 patients with flexor tendon injuries . There were 20 and 18 injuries in zone 2 and zone 5 respectively .Early rehabilitation of the repaired digit ,which com-bined with dorsal plaster slab ,electrotherapy and physical therapy ,was commenced after surgery .Range of move-ment and functional outcome were monitored and recovery from injury in zone 2 was compared with injury in zone 5 . Results :After treatment for 12 weeks ,the total active motion (TAM ) scoring system of the American Society and the upper extremity functional index (UEFI) were measured .According to the TAM score and UEFI ,the anatomic improvement and functional outcome in zone 5 was significantly better than in zone 2 (P<0 .05) .The residual exten-sion deficit of the fingers in zone 5 was significantly lower than in zone 2 (P<0 .01) .Conclusion:Early rehabilitation following flexor tendon repair provides comparable clinical results between zone 5 and zone 2 and recovery of TAM and ADL in patients with zone-5 injury was better than those with zone-2 injury .关键词
主动运动/屈肌腱修复/早期康复Key words
active mobilization/flexor tendon repair/early rehabilitation分类
医药卫生引用本文复制引用
黄琴,刘莉,陈燕花,毛朝琴..屈指肌腱Ⅱ区与V区修复术后早期主动运动方案的疗效对比[J].中国康复,2014,(2):96-98,3.
