屈指肌腱修復的預後

Functional Outcome of Finger Flexor Tebdon Repair

鄧復旦(Fuk-Tan Tang) ； 黃美涓(May-Kuen Wong)

《中華民國復健醫學會雜誌》 17期 (1989/12) Pp. 15-20

https://doi.org/10.6315/JRMA.198912.0006

摘要

屈指肌腱修復後要得到良好的結果，必需有完整的手術後復健計劃配合，方能達成。從民國75年2月至78年7月間，共有病患31位傷指59隻接受手術直接縫合。其中男性有25人，女生有6人。他們的年齡由3歲至54歲，平均年餘是25.9歲。在zone 2(甲組)受傷的手指有14隻，在zone l，3,4 & 5(乙組)受傷的手指有45隻。肌腱滑動的情況用Buck-Gramacko method評估，甲乙兩組分別有71.4%及82.2%的傷指得到優等的成績，而且甲乙兩組間在肌腱滑動方面之成績並無統計上之差異。幾乎所有病人的握力和娉力均有下降。感覺異常、耗連及無力是最常見之合併症。屈指肌腱在手術縫合後，經由控制式活動副木的保護，並在早期施子控制式肌腱滑動運動，就連在傳統上預後不佳的zone 2傷害，也可以獲得良好的預後。

並列摘要

In order to achieve good results following primary flexor tendon repair, detailed attention to post-operative rehabilitation program is essential. From February 1986 to July 1988,fifty-nine digits of thirty-one cases received primary flexor tendon repair. Among them, 25 were men, 6 were women. Ages were from 3 to 54 years old. There were 14 digits injuried at zone 2 (group A) and 45 digits injuried at zone 1, 3, 4 and 5 (gronp B). The results were evaluated by Buck-Gramacko method. It got excellent results in both groups with 71.4% in group A and 82.2% in group B. There were no statistical difference between these two groups. Nearly all of the cases decreased in pinch and grip strength. Returned to job within 3.8 months were noted in 77.4% of the cases. The major complications were paresthesia, adhesion and weakness. With proper use of dynamic splint and early controlled exercise, good results could be achieved even at zone 2.

並列關鍵字

primary flextor tendon repair ； rehabilitation