摘要
目的观察动力型支具结合早期功能锻炼在屈指肌腱Ⅱ区断裂修复术后应用对手指功能恢复的临床疗效。方法选取我院2017年6月~2018年10月期间屈指肌腱Ⅱ区断裂并行手术修复的47例(共81指)患者,按照来院先后随机分成治疗组(19例,共34指)和对照组(28例,47指)。治疗组肌腱修复术后给予动力型支具固定,并在术后第1天开始在支具保护下行手指主动伸指和被动屈伸手指锻炼,对照组给予静力型支具固定,两组支具均固定在相同的位置。两组患者均支具固定至术后3周,并在术后4周、6周、12周按TAM法评定手指总主动活动度。结果通过TAM法评定优良率,结果显示治疗组术后4周、6周、12周TAM优良率均明显优于对照组(P<0.05),这个优势于术后4周、6周更为明显。结论动力型支具结合早期功能锻炼在屈指肌腱Ⅱ区断裂术后应用能较早的获得较好的手指主动屈伸活动度,利于屈指肌腱Ⅱ区损伤术后早期康复。
Objective To observe the clinical effect of dynamic orthosis combined with early function exercise on the recovery of finger function after repair of the flexor tendon zoneⅡrupture.Methods A total of 47 patients(81 fingers)who underwent surgical repair of the flexor tendon zoneⅡrupture in our hospital from June 2017 to October 2018 were randomly divided into treatment group(19 patients,34 fingers)and control group(28 patients,47 fingers).The treatment group was given a dynamic orthosis fixation after tendon repair,and on the first day after surgery,the fingers were actively and passively extended and flexed under the protection of the orthosis.The control group was given static orthosis.Both orthoses were fixed in the same position.Both groups of patients were fixed by orthosis to 3 weeks after operation,and the total active finger activity was evaluated by TAM method at 4 weeks,6 weeks,and 12 weeks after operation.Results The excellent and good rate was evaluated by TAM method.The results showed that the excellent and good rate of TAM in the treatment group was significantly better than that in the control group at 4 weeks,6 weeks,and 12 weeks after operation(P<0.05),and this advantage was more obvious at 4 and 6 weeks after surgery.Conclusion The application of dynamic orthosis combined with early function exercise after the surgery for the flexor tendon zoneⅡrupture can obtain better active flexion and extension of the fingers earlier,which is beneficial to early rehabilitation after injury of flexor tendon zoneⅡ.
作者
杨家全
陈坤强
周欢斌
廖建平
YANG Jiaquan;CHEN Kunqiang;ZHOU Huanbin;LIAO Jianping(Department of Orthopaedics,Jiujiang First People's Hospital in Jiangxi Province,Jiujiang 332000,China)
出处
《中国现代医生》
2020年第15期80-82,86,共4页
China Modern Doctor
基金
江西省卫生计生委科技计划项目(20197122)。
关键词
屈肌腱修复
Ⅱ区
动力矫形器
功能恢复
Flexor tendon repair
ZoneⅡ
Dynamic orthosis
Functional recovery
