早期主动运动对指Ⅱ区屈肌腱修复术后的影响

Effectineness of early active mobilization in zone two after flexor tendon repair

目的:探讨早期主动运动对指Ⅱ区屈肌腱修复术后的影响。方法:41例指Ⅱ区屈肌腱修复患者分为观察组20例(46指)和对照组21例(48指)。观察组术后第3天开始采用早期主动运动方案;对照组术后制动3周后开始康复治疗。术后12周对2组患者进行总主动活动度测定法(TAM)系统评定和上肢功能指数(UEFI)评定。结果:治疗12周后,观察组患指TAM优良率及UEFI评分均明显高于对照组(P<0.01);观察组指间关节伸直缺失明显低于对照组(P<0.01)。结论:Ⅱ区指屈肌腱修复术后早期采用主动运动方案疗效较好,值得临床应用。

Objective：To prospectively study the role of active mobilization following flexor tendon repair in the zone two.Method：Two different rehabilitation programs were used in the 41 patients who had been subjected to primary repair in the zone 2 of flexor tendon.In 20 patients of observation group （46 digits）,the early active mobilization program was used from the 3rd day post operation.In the remaining 21 patients of control group （48 digits）,the immobilization program that had a three-week-immobilization period was used.The anatomic improvement was assessed by total active motion （TAM） scoring system of the American Society for Surgery of the Hand.And the functional outcome of the fingers was assessed using the upper extremity functional index （UEFI）.Results：After the treatment for 12 weeks,according to the TAM score and UEFI,the anatomic improvement and functional outcome in observation group was significantly better than in control group （P＜0.01）.The residual extension deficit rate of the fingers in observation group was significantly lower than in control group （P＜0.01）.Conclusion：Preliminary results of this study showed that active mobilization following flexor tendon repair in the zone two provides comparable clinical results and is as safe as immobilization program.