摘要
目的:探索程式化近指间关节松解改善创伤后关节僵硬的疗效。方法:选取2013年10月至2017年3月广东省工伤康复医院收治创伤性近指间关节僵硬62例指,采用程式化的近指间关节松解术进行治疗,并结合系统康复。结果:通过测量术前及术后的近指间关节活动度及手指肌腱总活动度(TAM),平均时间3个月。根据中华医学会上肢部分功能评定试用标准:TAM值综合评定手指活动功能优秀24例,良29例,中7例,差2例,优良率85.48%。手术患者有5例需要游离植皮,均一期成活,4例出现术后肌腱断裂,2例感染,余伤口愈合好、外观平整。结论:程式化近指间关节松解结合康复改善创伤后关节活动度上有明显疗效。
Objective To explore the effect of stylized proximal interphalangeal joint release to improve postural joint stiffness. Methods： From October 2013 to March 2017, Guangdong Department of Occupational Injury and Rehabilitation Hospital received traumatic proximal interphalangeal joint stiffness in 62 cases, using stylized proximal interphalangeal joint release for treatment, combined with system rehabilitation. Results： By measuring the preoperative and postoperative proximal interphalangeal joint activity and total finger muscle tendon activity （TAM）, the average time of 3 months. According to the Chinese medicine society upper limb part of the fimctional evaluation criteria： TAM comprehensive evaluation of finger activity excellent 24 cases, good in 29 cases, 7 cases, poor in 2 eases, excellent rate of 85.48%. Surgical patients with 5 cases need free skin graft, were active one day, Postoperative rupture of tendon occurred in 4 cases, wound has healing, and appearance smooth. Conclusion： The combination of stylized proximal interphalangeal joint and rehabilitation can improve the postoperative activity of postoperative joint.
出处
《深圳中西医结合杂志》
2017年第14期7-9,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
广东省医学科研基金立项项目资助课题(A2014530)
