Strickland James W, Glogovac S Vic
Department of Orthopaedic Surgery, Indiana University Medical Center, Indianapolis, Ind.
Section of Hand Surgery, Department of Orthopaedic Surgery, St. Vincent Hospital and Health Care Center, St. Loius, Mo.
J Hand Surg Am. 2025 Jul;50(7):846-852. doi: 10.1016/j.jhsa.2025.05.017.
The performance of 50 consecutive digits in 37 patients was analyzed following flexor tendon repair in Zone 11. Twenty-five digits were managed by 3 1/2 weeks of immobilization followed by a program of gradually increased motion; 25 other digits by intermittent passive motion initiated within the first 5 days with active flexion commenced at 4 1/2 weeks. Results were graded according to the percentage of return of motion at the proximal and distal interphalangeal joints. There were four ruptures in the immobilization group with no excellent results, 12% being rated good, 28%fair, and 11% poor. In the digits managed by early mobilization there were 36% excellent, 20% good, 16% fair, 24% poor; there was one rupture in this group. Early passive motion appeared to be an effective technique to improve the results of flexor tendon repairs in this area.
对37例患者在Ⅰ区屈指肌腱修复术后连续50个手指的表现进行了分析。25个手指采用固定3.5周，随后进行逐渐增加活动度的方案处理；另外25个手指在术后前5天内开始进行间歇性被动活动，并在4.5周时开始主动屈曲。结果根据近端和远端指间关节活动度恢复的百分比进行分级。固定组有4例肌腱断裂，无优级结果，12%为良，28%为可，11%为差。在早期活动组的手指中，优级占36%，良级占20%，可级占16%，差级占24%；该组有1例肌腱断裂。早期被动活动似乎是改善该区域屈指肌腱修复效果的有效技术。
