Service d'orthopédie-traumatologie, Hôpital Aristide-Le-Dantec, 30, avenue Pasteur, B.P. 3001, Dakar, Senegal.
Centre de la Main, Village Santé Angers Loire, 47, rue de la Foucaudière, 49800 Trélazé, France.
Hand Surg Rehabil. 2020 Sep;39(4):256-260. doi: 10.1016/j.hansur.2020.02.003. Epub 2020 Feb 15.
In Senegal, patients are seen an average of 16 months after their injury in a specialized hand and upper limb surgery department. Because of this lengthy delay, these patients have severe functional sequelae, such as wrist flexion contracture, averaging 45 degrees in our case series (range, 35 to 90 degrees). After reviewing the literature, we did not find any splint that was well suited to these patients. Inspired by the general splinting rules set out by Schultz, MacConaill and Brand, we constructed a volar/dorsal splint to reduce these contractures. We have been using this serial static splint for 2 years. We performed a prospective study of 17 wrists to evaluate its therapeutic benefit, describe its use and outline its optimal application.
在塞内加尔，患者在专门的手和上肢外科部门就诊的平均时间是受伤后 16 个月。由于这种长时间的延迟，这些患者出现了严重的功能后遗症，如腕关节屈曲挛缩，在我们的病例系列中平均为 45 度（范围为 35 度至 90 度）。在查阅文献后，我们没有发现任何非常适合这些患者的夹板。受 Schultz、MacConaill 和 Brand 提出的一般夹板规则的启发，我们制作了一个掌侧/背侧夹板来减少这些挛缩。我们已经使用这种连续静态夹板 2 年了。我们对 17 个手腕进行了前瞻性研究，以评估其治疗效果，描述其使用方法，并概述其最佳应用。
