伊朗南部阿瓦士市伊玛目霍梅尼医院转诊患者 II 区深屈肌肌腱修复术的短期和长期治疗效果。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.1.82
Payam Mohammadhoseini, Seyed Mohammad Mohammadi, Narjes Mousavi Nia
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引用次数: 0

摘要

背景:手部损伤是外科医生和患者关注的一个重要问题,需要及时进行适当的治疗,以防止感染和粘连等并发症的发生,并通过适当的康复计划使患者尽快恢复最大功能。我们旨在研究 II 区深屈肌腱修复术的短期和长期治疗效果:这项回顾性研究针对 2017-2019 年期间转诊至伊朗阿瓦士市伊玛目霍梅尼医院的 34 名患者,其中 45 名患者的手指受伤部位为 II 区。评估了两组深屈肌腱修复的结果,即立即修复和延迟初级修复:患者的平均年龄为 27.76 岁。在感染、肌腱断裂和粘连等并发症的发生率方面,男性和女性没有明显差异。29.4%(10 人)疗效不佳,8.8%(3 人)疗效一般,29.4%(10 人)疗效良好,32.4%(11 人)疗效极佳。26.5%的患者有粘连,感染率为11.8%:结论:外科医生对肌腱损伤的初次修复已达成共识,但立即和延迟初次修复的结果没有显著差异。尽管物理治疗被认为是改善手部功能的有效因素,但其对手指活动范围的积极影响尚未得到证实。
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Short-Term and Long-Term Therapeutic Results of Deep Flexor Tendon Repair in Zone II in Patients Referred to Imam Khomeini Hospital, Ahvaz, Southern Iran.

Background: Hand injury as an important concern for the surgeon and the patient requires proper and timely treatment to prevent complications such as infection and adhesions, and with a proper rehabilitation program, the patient returns to maximum function as soon as possible. We aimed to investigate the short-term and long-term treatment results of deep flexor tendon repair in in zone II.

Methods: This retrospective study was performed on 34 patients with 45 injured fingers in the zone II referred to Ahvaz Imam Khomeini Hospital, Ahvaz, Iran during 2017-2019. The results of deep flexor tendons repair in two groups, immediate and delayed primary repair were assessed.

Results: The mean age of the patients was 27.76 years. There was no significant remarkable between male and female in the incidence of complications such as infection, tendon rupture and adhesions. 29.4% (n=10) had poor outcome, 8.8% (n=3) had fair outcome, 29.4% (n=10) had good outcome and 32.4% (n=11) had excellent outcomes. 26.5% had adhesion and infection rate was 11.8%.

Conclusion: Among surgeons, there is consensus for the primary repair of tendon injury, but there was no significant difference between the results of immediate and delayed primary repair. Although physiotherapy has been suggested as an effective factor in improving hand function, its positive effect on the range of motion of the fingers has not been proven.

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