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首页|期刊导航|中华灾害救援医学|侧方入路关节松解术结合系统康复对外伤性掌指关节僵硬的疗效

侧方入路关节松解术结合系统康复对外伤性掌指关节僵硬的疗效

刘大海

中华灾害救援医学2024,Vol.11Issue(4):408-410,436,4.
中华灾害救援医学2024,Vol.11Issue(4):408-410,436,4.DOI:10.13919/j.issn.2095-6274.ZHJY202404030

侧方入路关节松解术结合系统康复对外伤性掌指关节僵硬的疗效

Lateral Approach Arthrolysis Combined with Systemic Rehabilitation for Traumatic Metacarpophalangeal Stiffness

刘大海1

作者信息

  • 1. 250400 山东平阴,平阴县人民医院
  • 折叠

摘要

Abstract

Objective To explore the effect of lateral approach joint release combined with systematic re-habilitation on traumatic metacarpophalangeal joint stiffness.Methods From July 2022 to July 2023,120 patients with post-injury metacarpophalangeal stiffness were recruited from the Rehabilitation Department of Pingyin County People's Hospital.According to different treatment plans,they were divided into the study group(lateral approach joint release+systematic rehabilitation,n=60)and the control group(conventional rehabilitation,n=60 cases).Joint range of motion,metacarpophalangeal function,mastery,grip duration,and fingertip pressure were compared between two groups.Methods From July 2022 to July 2023,120 patients with post-injury metacarpophalangeal stiffness were recruited from the Rehabilitation Department of Pingyin County People's Hospital.According to different treatment plans,they were divided into the study group(lateral approach joint release+systematic rehabili-tation,n=60 cases)and the control group(conventional rehabilitation,n=60).Joint range of motion,metacarpophalangeal function,mastery,grip duration,and fingertip pressure were compared between two groups.Results Before treatment,there were no significant differences in active joint motion,passive joint motion,and upper limb DASH score be-tween the two groups(P>0.05).After treatment,active joint motion in both groups increased(P<0.001),and pas-sive joint motion in both groups increased more significantly(P<0.001),while the active and passive joint motion of the study group increased more than those of the control group increased(P<0.001).After treatment,upper limb DASH scores decreased in both groups(P<0.001),and the reduction was more significant in the study group than in the control group(P<0.001).Before treatment,there were no significant differences in grip strength,grip strength duration,and fingertip pressure between the two groups(P>0.05).After treatment,grip strength,grip strength dura-tion,and fingertip pressure of both groups significantly increased(P<0.001),but there were no significant dif-ferences in grip strength,grip strength duration,and fin-gertip pressure increase degree between the two groups(P>0.05).Conclusion Lateral approach joint release combined with systematic rehabilitation can significantly improve the range of motion and metacarpal and digital function of the affected palm,which is conducive to the re-covery of patients.

关键词

掌指关节/手掌,损伤/康复

Key words

metacarpophalangeal joint/metacarpus injuries/rehabilitation

分类

农业科技

引用本文复制引用

刘大海..侧方入路关节松解术结合系统康复对外伤性掌指关节僵硬的疗效[J].中华灾害救援医学,2024,11(4):408-410,436,4.

中华灾害救援医学

2095-6274

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