Patil R K, Koul A R
Department of Plastic and Reconstructive surgery, Medical Trust Hospital, Cochin, Kerala, India.
Indian J Plast Surg. 2012 Jan;45(1):29-37. doi: 10.4103/0970-0358.96576.
Whether to splint the extensor tendon repairs or to mobilise them early is debatable. Recently, mobilisation has shown favourable results in a few studies. This study was aimed to compare the two favoured protocols (immobilisation vs. early active motion) in Indian population.
Between June 2005 and June 2007, patients with extensor tendon injuries in zones V-VIII were randomly distributed in two groups: Group A, early active motion; and group B, immobilisation. Their results at 8 and 12 weeks and 6 months were compared.
Patients in early active motion group were found to have better total active motion and early return to work. This difference was statistically significant up to 12 weeks, but not at 6 months.
Early active motion following extensor tendon repair hastens patients' recovery and helps patients to gain complete range of motion at earlier postoperative period. With improved grip strength, the early return to work is facilitated, though these advantages are not sustained statistically significantly over long term.
对于伸肌腱修复后是采用夹板固定还是早期活动存在争议。最近，一些研究表明早期活动取得了良好的效果。本研究旨在比较印度人群中两种常用方案（固定与早期主动活动）。
2005年6月至2007年6月期间，将Ⅴ-Ⅷ区伸肌腱损伤患者随机分为两组：A组为早期主动活动组；B组为固定组。比较两组患者在8周、12周和6个月时的结果。
早期主动活动组患者的总主动活动度更好，且能更早恢复工作。这种差异在12周时具有统计学意义，但在6个月时无统计学意义。
伸肌腱修复后早期主动活动可加速患者康复，并有助于患者在术后早期获得完全的活动范围。随着握力的提高，患者能更早恢复工作，不过从统计学角度来看，这些优势在长期内并不持续显著。
