Short-term assessment of optimal timing for postoperative rehabilitation after flexor digitorum profundus tendon repair in a canine model.

作者: Chunfeng Zhao , Peter C. Amadio , Tatsuro Tanaka , Chao Yang , Anke M. Ettema

DOI: 10.1197/J.JHT.2005.04.017

关键词: TendonPostoperative rehabilitationRehabilitationMedicineCanine modelSignificant differenceExtramuralFlexor tendon repairTendon lacerationSurgery

摘要: Abstract The purpose of this study was to compare the short-term outcome following flexor tendon repair for postoperative rehabilitation commencing on day 1 (a common clinical choice) versus 5 (the which, with immobilization, initial gliding resistance is least in model) an vivo canine model. Work flexion (WOF) and strength were evaluated laceration 24 dogs sacrificed 10 days postoperatively. Starting mobilization at resulted no ruptures compared four (33%) group subjected starting 1. While there statistically significant difference WOF between groups 10, a trend toward lower favoring start group, statistical power detect diminished by group. We conclude that 5, when lower, may have advantage over earlier times, surgical edema other factors increase force requirements initiate gliding. plan further studies evaluate longer-term benefits program.

参考文章(48)
Chunfeng Zhao, Peter C. Amadio, Toshimitsu Momose, Paulus Couvreur, Mark E. Zobitz, Kai-Nan An, Effect of Synergistic Wrist Motion on Adhesion Formation After Repair of Partial Flexor Digitorum Profundus Tendon Lacerations in a Canine Model in Vivo Journal of Bone and Joint Surgery, American Volume. ,vol. 84, pp. 78- 84 ,(2002) , 10.2106/00004623-200201000-00012
James W. Strickland, James W. Strickland, Management of acute flexor tendon injuries. Orthopedic Clinics of North America. ,vol. 14, pp. 827- 849 ,(1983) , 10.1016/S0030-5898(20)31300-6
Krister L. Silfverskiöld, Esther J. May, Gap formation after flexor tendon repair in zone II. Results with a new controlled motion programme. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. ,vol. 27, pp. 263- 268 ,(1993) , 10.1080/02844311.1993.12005639
Strickland Jw, Flexor tendon repair. Hand Clinics. ,vol. 1, pp. 55- 68 ,(1985)
S.C. Winters, J.G. Seiler, S.L.-Y. Woo, R.H. Gelberman, Suture methods for flexor tendon repair: A biomechanical analysis during the first six weeks following repair Annales De Chirurgie De La Main Et Du Membre Superieur. ,vol. 16, pp. 229- 234 ,(1997) , 10.1016/S0753-9053(97)80006-3
Harold E. Kleinert, Joseph E. Kutz, Erdogan Atasoy, Alan Stormo, Primary repair of flexor tendons. Orthopedic Clinics of North America. ,vol. 4, pp. 865- 876 ,(1973) , 10.1016/S0030-5898(20)30822-1
Richard Gelberman, P. A. Lesker, P. R. Manske, Flexor tendon healing. Hand Clinics. ,vol. 1, pp. 25- 34 ,(1985)
J.P. Canciani, F. Langlais, Y. Gibon, J.M. Thomine, Sutures primitives des tendons fléchisseurs en zone II (103 doigts): Résultats et limites du « Kleinert Annales De Chirurgie De La Main. ,vol. 5, pp. 301- 312 ,(1986) , 10.1016/S0753-9053(86)80006-0
SHIGEHARU UCHIYAMA, PETER C. AMADIO, JUN-ICHI ISHIKAWA, KAI-NAN AN, Boundary lubrication between the tendon and the pulley in the finger Journal of Bone and Joint Surgery, American Volume. ,vol. 79, pp. 213- 218 ,(1997) , 10.2106/00004623-199702000-00008
Lynn D. Ketchum, Primary tendon healing: A review Journal of Hand Surgery (European Volume). ,vol. 2, pp. 428- 435 ,(1977) , 10.1016/S0363-5023(77)80023-3