Chinchalkar Shrikant J, Larocerie-Salgado Juliana, Suh Nina
Department of Hand Therapy, Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada; Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada.
Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada.
J Hand Microsurg. 2016 Aug;8(2):70-9. doi: 10.1055/s-0036-1586173. Epub 2016 Jul 21.
Despite the number of rehabilitation strategies and guidelines developed to maximize the gliding amplitude of repaired tendons, secondary complications, such as decreased range of motion and stiffness associated with tendon adhesions, commonly arise. If left untreated, these early complications may lead to secondary pathomechanical changes resulting in fixed deformities and decreased function. Therefore, an appropriate treatment regimen must not only include strategies to maintain the integrity of the repaired tendon, but must also avoid secondary complications due to reduced gliding amplitude. This review presents a biomechanical analysis of the dynamics of tendon gliding following repair in zone II and rehabilitation strategies to minimize secondary complications related with tendon adhesions.
尽管已制定了许多康复策略和指南，旨在最大程度地增加修复肌腱的滑动幅度，但诸如与肌腱粘连相关的活动范围减小和僵硬等继发性并发症仍很常见。如果不加以治疗，这些早期并发症可能会导致继发性病理力学改变，从而导致固定畸形和功能下降。因此，适当的治疗方案不仅必须包括维持修复肌腱完整性的策略，还必须避免因滑动幅度减小而引起的继发性并发症。本综述对II区修复后肌腱滑动的动力学进行了生物力学分析，并提出了康复策略，以尽量减少与肌腱粘连相关的继发性并发症。
