The effects of a shortened postoperative mobilization programme after flexor tendon repair in zone 2

被引:27
作者
Adolfsson, L
Soderberg, G
Larsson, R
Karlander, LE
机构
[1] Dept Plastic Surg Hand Surgery Burns, University Hospital
关键词
D O I
10.1016/S0266-7681(96)80016-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The effects of a shortened post-operative mobilization programme following flexor tendon repair in zone 2 in the hand were examined in a prospective, randomized study. 91 digits in 82 patients were included in the study. All injured tendons mere repaired within 24 hours and all patients were subjected to the same mobilization programme during the first 6 weeks using a passive flexion-active extension regime. After 6 weeks the patients were randomized into two groups; in group A full activity was allowed after 8 weeks while in group B unrestricted use of the injured hand was not allowed until 10 weeks after the tendon repair, Functional results were compared using the Louisville, Tsuge and Buck-Gramcko assessment systems. Grip-strength was measured 16 weeks after repair, subjective assessment of hand function was recorded on a visual analogue scale, and absence from work was registered. No significant differences were observed between the groups regarding functional results, rupture rates, grip strength or subjective assessment, but absence from work was reduced by 2.1 weeks with the shorter mobilization programme. Using the described regime, full activity can be encouraged 8 weeks after flexor tendon repair in zone 2 of the hand without adverse effects on functional results or increased risk of rupture of the repair.
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页码:67 / 71
页数:5
相关论文
共 30 条
[1]   A COMPARISON OF POSTOPERATIVE MOBILIZATION OF FLEXOR TENDON REPAIRS WITH PASSIVE FLEXION-ACTIVE EXTENSION AND CONTROLLED ACTIVE MOTION TECHNIQUES [J].
BAINBRIDGE, LC ;
ROBERTSON, C ;
GILLIES, D ;
ELLIOT, D .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1994, 19B (04) :517-521
[2]  
Becker H, 1979, J Hand Surg Am, V4, P454
[3]  
Buck-Gramcko D, 1976, Handchirurgie, V8, P65
[4]   CONTINUOUS PASSIVE MOTION FOLLOWING FLEXOR TENDON REPAIR [J].
BUNKER, TD ;
POTTER, B ;
BARTON, NJ .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1989, 14B (04) :406-411
[5]   CONTROLLED MOTION REHABILITATION AFTER FLEXOR TENDON REPAIR AND GRAFTING - A MULTI-CENTRE STUDY [J].
CHOW, JA ;
THOMES, LJ ;
DOVELLE, S ;
MONSIVAIS, J ;
MILNOR, WH ;
JACKSON, JP .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (04) :591-595
[6]  
Cifaldi-Collins D, 1991, J HAND THER, V4, P111
[7]   FLEXOR TENDON REPAIR IN ZONE-2 FOLLOWED BY CONTROLLED ACTIVE MOBILIZATION [J].
CULLEN, KW ;
TOLHURST, P ;
LANG, D ;
PAGE, RE .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1989, 14B (04) :392-395
[8]   ELECTRICAL AND MECHANICAL CHANGES IN IMMOBILIZED HUMAN-MUSCLE [J].
DUCHATEAU, J ;
HAINAUT, K .
JOURNAL OF APPLIED PHYSIOLOGY, 1987, 62 (06) :2168-2173
[9]   FLEXOR TENDON REPAIR IN NO-MANS-LAND - RESULTS OF PRIMARY REPAIR WITH CONTROLLED MOBILIZATION [J].
EJESKAR, A .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1984, 9A (02) :171-177
[10]   THE RUPTURE RATE OF ACUTE FLEXOR TENDON REPAIRS MOBILIZED BY THE CONTROLLED ACTIVE MOTION REGIMEN [J].
ELLIOT, D ;
MOIEMEN, NS ;
FLEMMING, AFS ;
HARRIS, SB ;
FOSTER, AJ .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1994, 19B (05) :607-612