比较 II 区屈肌肌腱损伤修复手术后早期主动活动与晚期主动活动的活动范围:一项随机临床试验。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.52547/wjps.12.2.29
Hosseinali Abdolrazaghi, Mohammad Ramin, Hojjat Molaei
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引用次数: 0

摘要

背景:屈肌腱断裂修复术后肢体的早期或延迟活动对术后结果有影响,但目前尚不清楚早期或晚期的器官活动更有可能导致康复。我们旨在评估术后通过康复早期和晚期积极活动肢体对活动范围和手部恢复的影响:这项随机临床研究于 2022 年在伊朗德黑兰的 Sina 医院进行,对象是 80 名在 II 区接受浅层和深层肌腱重建手术的屈肌腱损伤患者。患者被随机(使用随机数字表)分为两组,一组早期康复(三天后开始,53 人),另一组晚期康复(三周后开始,27 人)。对患者进行术后检查和职业治疗,并计算其受累关节的活动范围:结果:与考虑晚期活动的患者相比,计划早期活动的患者的PIP伸展滞后、PIP主动屈曲、DIP伸展滞后、DIP主动屈曲和总主动活动的平均值都明显更高(P=0.031)。结论:与延迟开始手部屈伸运动相比,延迟开始手部屈伸运动的患者手部主动屈伸和总主动运动量均明显增加(P=0.031):结论:与延迟开始手部屈肌腱活动相比,尽早开始这些活动与该肌腱运动功能的改善有很大关系。
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Comparison the Range of Motion Following Early Versus Late Active Mobilization after Repairing Surgery on Flexor Tendon Injury in the Zone II: A Randomized Clinical Trial.

Background: Early or delayed mobilization of limb after flexor tendon rupture repairing has an effect on postoperative outcomes, however it is not yet clear whether early or late organ mobilization leads to more likelihood of recovery. We aimed to assess the effects of early and late active limb mobilization through rehabilitation after surgery on the range of motion and hand recovery.

Methods: This randomized clinical study was performed in Sina Hospital, Tehran, Iran in 2022 on 80 patients with flexor tendon damage in the zone II, who underwent reconstructive surgery of superficial and deep tendons. Patients were randomly (using random number table) divided into two groups that for one group, rehabilitation was done early (starting after three days, n = 53) and for the other group, rehabilitation was done late (starting after three weeks, n = 27). The patients were examined postoperatively and following occupational therapy and the range of motion of their involved joints was calculated.

Results: The means PIP extension Lag, PIP active flexion, DIP extension Lag, DIP active flexion and total active motion were all significantly higher in those patients planned for early mobilization as compared to those who considered for late mobilization(P=0.031). Such a significant difference was also revealed adjusting baseline parameters.

Conclusion: Compared to the delayed start of hand flexor tendon mobility, the early start of these activities is associated with a much greater improvement in the movement function of this tendon.

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