From the Division of Plastic Surgery, Virginia Commonwealth University/Medical College of Virginia; Department of Plastic Surgery, University of Virginia; Division of Plastic Surgery, Queen Elizabeth II Health Sciences Center; and Dalhousie University.
Plast Reconstr Surg. 2020 Mar;145(3):617e-628e. doi: 10.1097/PRS.0000000000006556.
After reviewing this article, the participant should be able to: Start early protected movement at 3 to 5 days after surgery with relative motion extension splinting for zone 5 extensor tendon lacerations over the hand. Allow patients to resume regular activities much sooner than the conventional 3 to 4 weeks of splinting after extensor tendon repair. Improve the rehabilitation of boutonniere deformities with relative motion splinting.
This article focuses on surgery and rehabilitation of extensor tendon injuries from the proximal interphalangeal joint (boutonniere) to the wrist. Relative motion flexion and extension splinting and wide awake, local anesthesia, no tourniquet surgery have revolutionized the management of these lesions, with early protected movement, sooner return to regular activities, and improved rehabilitation. This article explains and illustrates these new advances in extensor tendon management.
回顾本文后，参与者应能够：在手部伸肌腱撕裂伤术后 3 至 5 天，开始使用相对运动延伸夹板进行早期保护运动。与传统的伸肌腱修复后 3 至 4 周夹板固定相比，让患者更早地恢复正常活动。使用相对运动夹板改善纽扣畸形的康复。
本文重点介绍了从近指间关节（纽扣畸形）到手腕的伸肌腱损伤的手术和康复。相对运动屈伸夹板和清醒、局部麻醉、无止血带手术彻底改变了这些损伤的处理方式，实现了早期的保护性运动，更快地恢复正常活动，并改善了康复效果。本文解释并说明了伸肌腱管理方面的这些新进展。
