Chinchalkar Shrikant J, Larocerie-Salgado Juliana, Pipicelli Joey G
Hand Therapy Division, Roth-McFarlane Hand & Upper Limb Center, St. Joseph's Health Care London, ON, Canada.
Advanced Clinical Education Inc., Mississauga, ON, Canada.
J Hand Surg Eur Vol. 2025 Mar;50(3):318-329. doi: 10.1177/17531934241265579. Epub 2024 Aug 14.
Despite significant advancements in flexor tendon repair techniques and rehabilitation strategies, achieving complete restoration of digital motion remains a formidable challenge. The most prevalent complications associated with tendon repair are the development of tendon adhesions and joint contractures. Left unaddressed, these complications can further lead to secondary pathomechanical changes, resulting in fixed deformities significantly affecting hand function. This review of zone-specific considerations in flexor tendon rehabilitation provides an in-depth analysis of the dynamics of tendon motion after repair and strategies to minimize common secondary complications.
尽管屈肌腱修复技术和康复策略取得了显著进展，但实现手指运动的完全恢复仍然是一项艰巨的挑战。与肌腱修复相关的最常见并发症是肌腱粘连和关节挛缩的形成。如果不加以解决，这些并发症会进一步导致继发性病理力学变化，从而导致严重影响手部功能的固定畸形。这篇关于屈肌腱康复中特定区域考虑因素的综述，深入分析了修复后肌腱运动的动态变化以及将常见继发性并发症降至最低的策略。
