Kasashima Toshihiko, Kato Hiroyuki, Minami Akio
Department of Orthopedic Surgery, Hokkaido University School of Medicine, Sapporo 060-8638, Japan.
Hand Surg. 2002 Dec;7(2):171-6. doi: 10.1142/s0218810402001126.
Few studies have focused on the relevance of early motion exercise on repair of the flexor pollicis longus tendon. We evaluated 29 patients with flexor pollicis longus tendon lacerations treated by direct end-to-end suture, and statistically assessed the clinical factors that influenced the results by using a multivariate logistic regression model. Association with age, vascular damage and timing of repair did not affect the results. Patients with flexor pollicis longus tendon lacerations in zone II or with the tendon stumps retracted proximally had a significantly high risk of unsatisfactory results. Postoperative passive flexion and active extension exercise using rubber bands significantly decreased the risk of unsatisfactory results in these conditions. Results of this study indicate that early postoperative motion is useful after every FPL tendon repair, particularly in patients with zone II laceration or retraction of the proximal tendon stump.
很少有研究关注早期活动锻炼对拇长屈肌腱修复的相关性。我们评估了29例接受直接端端缝合治疗的拇长屈肌腱撕裂伤患者，并使用多因素逻辑回归模型对影响结果的临床因素进行了统计学评估。年龄、血管损伤和修复时机与结果无关。Ⅱ区拇长屈肌腱撕裂伤患者或肌腱残端向近端回缩的患者，结果不满意的风险显著较高。在这些情况下，术后使用橡皮筋进行被动屈曲和主动伸展锻炼可显著降低结果不满意的风险。本研究结果表明，每次拇长屈肌腱修复术后早期活动都是有益的，尤其是对于Ⅱ区撕裂伤或近端肌腱残端回缩的患者。
