手指再植成功后的康复治疗。
Rehabilitation after successful finger replantation.
作者信息
Ugurlar Meric, Kabakas Fatih, Purisa Husrev, Sezer Ilker, Celikdelen Pınar, Ozcelik Ismail Bulent
机构信息
Department of Orthopedics and Traumatology, Sişli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey.
IST-EL Hand Surgery, Microsurgery and Rehabilitation Group, Istanbul, Turkey.
出版信息
North Clin Istanb. 2016 May 24;3(1):22-26. doi: 10.14744/nci.2016.19870. eCollection 2016.
OBJECTIVE
The aim of the present study was to assess results of rehabilitation of patients after finger replantation.
METHODS
The study examined 160 fingers amputated and replanted at various levels between 2000 and 2013 at the clinic. Mean patient age was 29.4 years. Mean follow-up time was 23 months. Rehabilitation of fingers began between postoperative fourth and eighth week and continued until the 24th week. Range of motion of affected hand, return to daily activities, aesthetic appearance, and patient satisfaction were assessed according to Tamai criteria.
RESULTS
Functional results according to Tamai criteria were perfect in 36 patients, good in 54 patients, average in 27 patients, and poor in 18 patients.
CONCLUSION
Post-operative rehabilitation of replanted fingers should begin as soon as possible. During the rehabilitation period, physiotherapist, surgeon, and patient must work in close cooperation. Functional results of patients who adjust to the rehabilitation program, home practice, and splint usage are better.
目的
本研究旨在评估手指再植术后患者的康复效果。
方法
该研究对2000年至2013年期间在诊所进行不同水平截肢并再植的160根手指进行了检查。患者平均年龄为29.4岁。平均随访时间为23个月。手指康复在术后第四至八周开始，并持续至第24周。根据玉井标准评估患手的活动范围、恢复日常活动情况、美观程度及患者满意度。
结果
根据玉井标准，功能结果为优的有36例患者，良的有54例患者，中的有27例患者，差的有18例患者。
结论
再植手指的术后康复应尽早开始。在康复期间，物理治疗师、外科医生和患者必须密切合作。适应康复计划、家庭练习和使用夹板的患者功能结果更好。
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