Department of Orthopedics and Traumatology, Gaziosmanpaşa Training and Research Hospital, University of Health Sciences, Mevlana, 884. Sk. No: 23, 34255 Gaziosmanpaşa, İstanbul, Turkey.
Department of Orthopedics and Traumatology, Gaziosmanpaşa Training and Research Hospital, University of Health Sciences, Mevlana, 884. Sk. No: 23, 34255 Gaziosmanpaşa, İstanbul, Turkey.
Hand Surg Rehabil. 2020 Sep;39(4):291-295. doi: 10.1016/j.hansur.2020.03.002. Epub 2020 Apr 3.
The aim of this study was to compare the outcome of patients who received rehabilitation to those who did not receive it after surgical treatment of acute and chronic tears of the ulnar collateral ligament (UCL) of the thumb. Forty-two patients with an acute UCL injury repaired with two soft mini-anchors to bone insertion sites, and 40 patients with a chronic UCL injury reconstructed with autografts were involved in this study. The patients were divided two subgroups depending on rehabilitation. Patient characteristics were not significantly different between the two groups and subgroups. Range of motion, grip strength and pinch strength were evaluated. There was no significant change in terms of grip and pinch strength in patients with acute UCL injury who received rehabilitation after surgical treatment. However, significantly better results were achieved in flexion, extension, ulnar and radial deviation. There was no significant change in pinch strength in patients with chronic UCL reconstructions, but significantly better results were achieved in grip strength, flexion, extension, ulnar and radial deviation. A rigid MCP splint in patients with acute and chronic UCL tears is effective in preventing early ligament insufficiency.
本研究旨在比较急性和慢性拇指尺侧副韧带（UCL）撕裂患者在手术治疗后接受康复治疗与未接受康复治疗的结果。本研究纳入了 42 例急性 UCL 损伤患者，采用双根软微型锚钉固定于骨插入部位，40 例慢性 UCL 损伤患者采用自体移植物重建。根据康复情况将患者分为两组亚组。两组和亚组之间的患者特征无显著差异。评估了关节活动度、握力和捏力。接受手术治疗后进行康复治疗的急性 UCL 损伤患者，握力和捏力无明显变化。然而，在屈曲、伸展、尺偏和桡偏方面取得了显著更好的结果。慢性 UCL 重建患者的捏力无明显变化，但握力、屈曲、伸展、尺偏和桡偏方面取得了显著更好的结果。急性和慢性 UCL 撕裂患者使用刚性 MCP 夹板可有效预防早期韧带不足。
