指伸肌腱止点修复术的术后康复治疗

蔡妙霞, 温桂芬, 唐琼, 曾宝仪, 庄永青

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (4) : 469-471.

中国临床解剖学杂志 ›› 2016, Vol. 34 ›› Issue (4) : 469-471. DOI: 10.13418/j.issn.1001-165x.2016.04.024
临床研究

指伸肌腱止点修复术的术后康复治疗

  • 蔡妙霞, 温桂芬, 唐琼, 曾宝仪, 庄永青
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Post-operative rehabilitation therapy of Mitek bone anchor reattachment surgery in extensor tendon injury

  • CAI Miao-xia, WEN Gui-fen,TANG Qiong,  ZENG Bao-yi, ZHUANG Yong-qing
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摘要

目的 探讨康复治疗对锚钉内固定修复指伸肌腱止点损伤术后功能恢复的影响。  方法  通过回顾总结67例患者早期进行正确的康复治疗干预及护理,分析康复治疗在锚钉修复手指伸肌术后的应用效果。  结果 本组67病例包括伸肌腱损伤导致的锤状指畸形和钮孔畸形,所有病例均未发生术后感染,肌腱未见明显粘连。指功能恢复满意。根据Dargan功能评定法,术后康复效果优52例,良10例,中5例,差0例,优良率92.5%,疗效满意。  结论 术后早期进行正确的康复治疗与护理对手部指伸指肌腱损伤术后功能恢复的影响非常关键。能有效防止或减少术后肌腱粘连及关节僵硬,以达到手指的最佳康复效果。

Abstract

Objective To observe post-operative rehabilitation therapy effectiveness in patients underwent extensor tendon surgical repair, using Mitek bone anchor. Method Early rehabilitation and nursing care intervention applied in 67 patients with an average age of 32.3 years, were enrolled in this study. Rehabilitation effect in follow-up assessment was collected. Results Patients with mallet finger and boutonniere deformity recovered without infection and tendon adhesion. According to Dargen scale, clinical follow-up revealed that the efficacy was excellent in 52 patients, better in 10, good in 5, fair in 0.  Conclusion Post-operative rehabilitation therapy and nursing care after surgery exert positive influence on functional recovery in patients with extensor injury. Incidence of tendon adhesion and anchyloses could be reduced and hand function rehabilitated with satisfactory result.

关键词

锚钉 / 伸肌腱 / 手术 / 康复 / 护理

Key words

 Mitek anchor / Extensor tendon / Surgery / Rehabilitation / Nursery care

引用本文

导出引用
蔡妙霞, 温桂芬, 唐琼, 曾宝仪, 庄永青. 指伸肌腱止点修复术的术后康复治疗[J]. 中国临床解剖学杂志. 2016, 34(4): 469-471 https://doi.org/10.13418/j.issn.1001-165x.2016.04.024
CAI Miao-xia, WEN Gui-fen,TANG Qiong, ZENG Bao-yi, ZHUANG Yong-qing. Post-operative rehabilitation therapy of Mitek bone anchor reattachment surgery in extensor tendon injury[J]. Chinese Journal of Clinical Anatomy. 2016, 34(4): 469-471 https://doi.org/10.13418/j.issn.1001-165x.2016.04.024

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基金

深圳市卫计委项目( 201506006)


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