Ⅳ区屈肌腱损伤术后控制下活动疗效观察

Controlled training after zone Ⅳ flexor tendon injury

目的 阐明早期控制性被动活动防止腕部屈肌腱粘连的作用。方法 一期修复腕掌部切割伤病人16例 ,术中用Tsuge或改良Kessler法缝接肌腱 ,并显微修复腱周组织。术后24小时开始行控制性被动活动功能锻炼。结果 16例病人得到3周至6个月的随访 ,按TAM评定疗效 ,优良率达93.8 %。结论 早期控制性功能锻炼为一种有效的防止肌腱粘连的方法。

Objective To observe the effect of controlled passive training after zone Ⅳ flexor tendon repairing at palm of the wrist. Methods 16 cases of severe cut injuries at palm of the wrist were involved. Controlled functional training was performed as early as 24 hours after zone Ⅳ flexor tendon repairing. Results According to TAM standard, 93.8% had an excellent or good result during 3 weeks to 3 months follow-up period. Conclusion Early controlled functional training could effectively prevent or reduce tendon adhesion.