| Early rehabilitation after flexor tendon repair:comparison of results following injuries in zone |
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| EN KeyWords: active mobilization flexor tendon repair early rehabilitation |
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| EN Abstract: |
| Objective:To prospectively study the role of early rehabilitation after flexor tendon repairs in zone 2 and zone 5.Methods:The primary repair technique was used to repair 90 digits in 38 patients with flexor tendon injuries.There were 20 and 18 injuries in zone 2 and zone 5 respectively.Early rehabilitation of the repaired digit,which combined with dorsal plaster slab,electrotherapy and physical therapy,was commenced after surgery.Range of movement and functional outcome were monitored and recovery from injury in zone 2 was compared with injury in zone 5.Results:After treatment for 12 weeks,the total active motion (TAM) scoring system of the American Society and the upper extremity functional index (UEFI) were measured.According to the TAM score and UEFI,the anatomic improvement and functional outcome in zone 5 was significantly better than in zone 2 (P<0.05).The residual extension deficit of the fingers in zone 5 was significantly lower than in zone 2 (P<0.01).Conclusion:Early rehabilitation following flexor tendon repair provides comparable clinical results between zone 5 and zone 2 and recovery of TAM and ADL in patients with zone-5 injury was better than those with zone-2 injury. |
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