Wittemann M, Blumenthal K, Hornung R W, Germann G
Abteilung für Verbrennungen, Plastische und Handchirurgie, Berufsgenossenschaftlichen Unfallklinik Ludwigshafen.
Handchir Mikrochir Plast Chir. 1996 Jul;28(4):191-7.
The Washington-regimen for the rehabilitation of flexor tendon injuries (Chow et al., 1987) represents a combination of the established Kleinert-method and the controlled passive motion of Duran and Houser. This paper presents the results of a study which was carried out in 99 patients with 113 injured fingers treated in the Department of Burns, Plastic and Hand Surgery of the Accident Hospital Ludwigshafen. 55 patients with injuries of the fingers and 29 patients with injuries of the thumb were evaluated according to functional and subjective criteria and compared to a group of 15 patients treated by the Kleinert-method. The results showed that the Washington-regimen yielded an improvement of up to 27% of very good and good results in injured fingers compared to the Kleinert-method. The improvement of results in thumb injuries was 8%. The subjective estimation of the results by the patients corresponded generally with the functional outcome. In cases with additional laceration of digital nerves, the subjective evaluation of two thirds of the patients was significantly worse than the objective functional results.
用于屈指肌腱损伤康复的华盛顿疗法（Chow等人，1987年）是既定的克莱纳特法与杜兰和豪泽的控制性被动活动的结合。本文介绍了一项研究结果，该研究在路德维希港事故医院烧伤、整形和手外科治疗的99例患者、113根受伤手指上进行。根据功能和主观标准对55例手指受伤患者和29例拇指受伤患者进行评估，并与一组采用克莱纳特法治疗的15例患者进行比较。结果表明，与克莱纳特法相比，华盛顿疗法使受伤手指的优良结果提高了27%。拇指损伤的结果改善率为8%。患者对结果的主观评估总体上与功能结果相符。在伴有指神经额外撕裂伤的病例中，三分之二患者的主观评估明显差于客观功能结果。
