脂肪注射对修复手部屈肌腱的临床疗效: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.12.2.41
Siamak Farokh Forghani, Hojjat Haghighimanesh, Tayyeb Ghadimi, Hossein Akbari, Hamidreza Farahmand, Soheila Naderi Gharahgheshlagh, Seyed Ehsan Mousavi-Lajimi
{"title":"脂肪注射对修复手部屈肌腱的临床疗效:随机临床试验","authors":"Siamak Farokh Forghani, Hojjat Haghighimanesh, Tayyeb Ghadimi, Hossein Akbari, Hamidreza Farahmand, Soheila Naderi Gharahgheshlagh, Seyed Ehsan Mousavi-Lajimi","doi":"10.52547/wjps.12.2.41","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In recent years, special attention has been paid to minimally invasive and conservative methods in addition to conventional surgical methods to repair tendon damage. In this regard, the effect of fat injection and graft has been of great interest due to its potential in accelerating tissue repair. We aimed to assess the clinical efficacy of fat injection along with conventional approach in patients with flexor tendon injury.</p><p><strong>Methods: </strong>In this randomized clinical trial, 64 patients were randomly scheduled for tendon repair using the usual modified Kessler four-strand method alone or tendon repair using four-strand method and fat injection on the proximal and distal sides of the repair site in the Hazrat Fatemeh Hospital, Tehran Province, Iran in 2022 (IRCT20221206056723N1). Patients were followed-up for eight weeks regarding the function status of the repaired tendon (using Strickland grading test), range of motion (by physical examination) and flexion and extension gaps (by imaging).</p><p><strong>Results: </strong>In the eighth weeks after the treatment, the average Strickland score was significantly higher in the group receiving fat injection (P: 0.009 ). In the two pointed times, the mean range of motion was significantly higher and the mean flexion and extension gaps were significantly lower in those who received fat injection. None of the procedural side effects were observed in the fifth and eighth weeks after the treatment.</p><p><strong>Conclusion: </strong>Fat injection along with usual surgical treatment for tendon repair accelerates and improves tendon function and range of motion.</p>","PeriodicalId":23736,"journal":{"name":"World Journal of Plastic Surgery","volume":"12 2","pages":"41-46"},"PeriodicalIF":0.9000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732290/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Clinical Efficacy of Fat Injection on the Repair of Hand Flexor Tendon: A Randomized Clinical Trial.\",\"authors\":\"Siamak Farokh Forghani, Hojjat Haghighimanesh, Tayyeb Ghadimi, Hossein Akbari, Hamidreza Farahmand, Soheila Naderi Gharahgheshlagh, Seyed Ehsan Mousavi-Lajimi\",\"doi\":\"10.52547/wjps.12.2.41\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In recent years, special attention has been paid to minimally invasive and conservative methods in addition to conventional surgical methods to repair tendon damage. In this regard, the effect of fat injection and graft has been of great interest due to its potential in accelerating tissue repair. We aimed to assess the clinical efficacy of fat injection along with conventional approach in patients with flexor tendon injury.</p><p><strong>Methods: </strong>In this randomized clinical trial, 64 patients were randomly scheduled for tendon repair using the usual modified Kessler four-strand method alone or tendon repair using four-strand method and fat injection on the proximal and distal sides of the repair site in the Hazrat Fatemeh Hospital, Tehran Province, Iran in 2022 (IRCT20221206056723N1). Patients were followed-up for eight weeks regarding the function status of the repaired tendon (using Strickland grading test), range of motion (by physical examination) and flexion and extension gaps (by imaging).</p><p><strong>Results: </strong>In the eighth weeks after the treatment, the average Strickland score was significantly higher in the group receiving fat injection (P: 0.009 ). In the two pointed times, the mean range of motion was significantly higher and the mean flexion and extension gaps were significantly lower in those who received fat injection. None of the procedural side effects were observed in the fifth and eighth weeks after the treatment.</p><p><strong>Conclusion: </strong>Fat injection along with usual surgical treatment for tendon repair accelerates and improves tendon function and range of motion.</p>\",\"PeriodicalId\":23736,\"journal\":{\"name\":\"World Journal of Plastic Surgery\",\"volume\":\"12 2\",\"pages\":\"41-46\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732290/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World Journal of Plastic Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.52547/wjps.12.2.41\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Plastic Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.52547/wjps.12.2.41","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

背景:近年来,除传统手术方法外,微创和保守方法也受到特别关注,以修复肌腱损伤。在这方面,脂肪注射和移植因其在加速组织修复方面的潜力而备受关注。我们的目的是评估脂肪注射和传统方法在屈肌腱损伤患者中的临床疗效:在这项随机临床试验中,伊朗德黑兰省 Hazrat Fatemeh 医院(IRCT20221206056723N1)于 2022 年随机安排了 64 名患者进行肌腱修复,修复方法包括单独使用通常的改良 Kessler 四股法,或使用四股法并在修复部位的近端和远端注射脂肪(IRCT20221206056723N1)。对患者进行了为期八周的随访,以了解修复肌腱的功能状况(使用斯特里克兰分级测试)、活动范围(通过体格检查)以及屈伸间隙(通过影像学检查):治疗后第八周,接受脂肪注射组的平均斯特里克兰德评分明显更高(P:0.009)。接受脂肪注射组的平均活动范围明显更大,平均屈伸间隙明显更小。治疗后第五周和第八周均未观察到手术副作用:结论:在肌腱修复的常规手术治疗的同时进行脂肪注射,可加快和改善肌腱的功能和活动范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
The Clinical Efficacy of Fat Injection on the Repair of Hand Flexor Tendon: A Randomized Clinical Trial.

Background: In recent years, special attention has been paid to minimally invasive and conservative methods in addition to conventional surgical methods to repair tendon damage. In this regard, the effect of fat injection and graft has been of great interest due to its potential in accelerating tissue repair. We aimed to assess the clinical efficacy of fat injection along with conventional approach in patients with flexor tendon injury.

Methods: In this randomized clinical trial, 64 patients were randomly scheduled for tendon repair using the usual modified Kessler four-strand method alone or tendon repair using four-strand method and fat injection on the proximal and distal sides of the repair site in the Hazrat Fatemeh Hospital, Tehran Province, Iran in 2022 (IRCT20221206056723N1). Patients were followed-up for eight weeks regarding the function status of the repaired tendon (using Strickland grading test), range of motion (by physical examination) and flexion and extension gaps (by imaging).

Results: In the eighth weeks after the treatment, the average Strickland score was significantly higher in the group receiving fat injection (P: 0.009 ). In the two pointed times, the mean range of motion was significantly higher and the mean flexion and extension gaps were significantly lower in those who received fat injection. None of the procedural side effects were observed in the fifth and eighth weeks after the treatment.

Conclusion: Fat injection along with usual surgical treatment for tendon repair accelerates and improves tendon function and range of motion.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
11.10%
发文量
41
期刊最新文献
A Giant Nevus Sebaceous Lesion in an 18 Year-Old Male: A Case Report. Assessing the Utility of Oral and Maxillofacial Surgery Posters as Educational Aids in Dental Education for Undergraduate Students: Is it Useless or Helpful? Comparison of the Effect of Two Low to High Lateral Osteotomy Methods, Percutaneous and Internal On the Tear Trough and Scleral Show in Patients Undergoing Esthetic Open Rhinoplasty. Comparison the Effect of Conventional and Nanofat Injection Methods on Nasolabial Fold Lipofilling: A Case- Control Study. Satisfaction and Quality of Life in Patients Who Underwent Post Massive Weight Loss Body Contouring Procedures: A Tertiary Center Experience in Bahrain.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1