改良Kleinert方案用于Ⅱ区指屈肌腱修复术后康复的疗效分析

Analysis of Effect on Recovery of Hand Function after Primary Flexor Tendon Repair in Zone Ⅱ Using Modified Kleinert Techniques

目的:本文旨在探讨应用改良Kleinert's方案进行Ⅱ区指屈肌腱修复术后早期运动训练的治疗效果。方法:选取2004年9月至2006年12月间在深圳市第九人民医院手外科进行肌腱损伤修复术并符合筛选标准的住院患者为研究对象,共计20例(35指),所有患者均在术后依据改良Kleinert's方案进行早期运动训练。结果:出院后随访4个月～9个月,平均(6.54±1.529)个月,无肌腱断裂病例,应用TAM法对所有患者进行评定,优:12指,良18指,中5指,差0指,优良率为85.71%。应用握力计对患手握力进行评定,患手握力为(13.66±6.452)N,与健侧比值为(55.62±6.626)%。结论:应用改良Kleinert's方案进行Ⅱ区指屈肌腱修复术后早期运动训练防治肌腱粘连效果满意。

Objective The purpose of this article was to determine the efficacy of the early postoperative rehabilitation based on the modified Kleinert techniques for patients after primary flexor tendon repair in zone Ⅱ. Methods There were twenty patients （35 digits） from the Ninth People＇s Hospital of Shenzhen, who were given early postoperative rehabilitation based on the modified Kleinert techniques. Results All the patients were followed 4-9 months with an average of（6.54± 1.529） months, there were no tendon rupture patients and the results were evaluated with the TAM system, 2 digits get excellent, 28 digits get good and 5 digits get fair, the excellent or good result accounted for 85.71% of all the series, the mean grip strength of injuried hand was （13.66± 6.452）N, which was （55.62± 6.626）% of the uninjured hand. Conclusion The efficacy of the early postoperative rehabilitation based on the modified Kleinert techniques for patients after primary flexor tendon repair in zone Ⅱ is satisfactory.