PDF(Pubmed)
Abstract：
UNASSIGNED: In recent years, special attention has been paid to minimally invasive and conservative methods in addition to conventional surgical methods to repair tendon damage. In this regard, the effect of fat injection and graft has been of great interest due to its potential in accelerating tissue repair. We aimed to assess the clinical efficacy of fat injection along with conventional approach in patients with flexor tendon injury.
UNASSIGNED: In this randomized clinical trial, 64 patients were randomly scheduled for tendon repair using the usual modified Kessler four-strand method alone or tendon repair using four-strand method and fat injection on the proximal and distal sides of the repair site in the Hazrat Fatemeh Hospital, Tehran Province, Iran in 2022 (IRCT20221206056723N1). Patients were followed-up for eight weeks regarding the function status of the repaired tendon (using Strickland grading test), range of motion (by physical examination) and flexion and extension gaps (by imaging).
UNASSIGNED: In the eighth weeks after the treatment, the average Strickland score was significantly higher in the group receiving fat injection (P: 0.009 ). In the two pointed times, the mean range of motion was significantly higher and the mean flexion and extension gaps were significantly lower in those who received fat injection. None of the procedural side effects were observed in the fifth and eighth weeks after the treatment.
UNASSIGNED: Fat injection along with usual surgical treatment for tendon repair accelerates and improves tendon function and range of motion.
UNASSIGNED: In this randomized clinical trial, 64 patients were randomly scheduled for tendon repair using the usual modified Kessler four-strand method alone or tendon repair using four-strand method and fat injection on the proximal and distal sides of the repair site in the Hazrat Fatemeh Hospital, Tehran Province, Iran in 2022 (IRCT20221206056723N1). Patients were followed-up for eight weeks regarding the function status of the repaired tendon (using Strickland grading test), range of motion (by physical examination) and flexion and extension gaps (by imaging).
UNASSIGNED: In the eighth weeks after the treatment, the average Strickland score was significantly higher in the group receiving fat injection (P: 0.009 ). In the two pointed times, the mean range of motion was significantly higher and the mean flexion and extension gaps were significantly lower in those who received fat injection. None of the procedural side effects were observed in the fifth and eighth weeks after the treatment.
UNASSIGNED: Fat injection along with usual surgical treatment for tendon repair accelerates and improves tendon function and range of motion.
摘要：
■近年来，除了传统的修复肌腱损伤的手术方法外，还特别注意微创和保守方法。在这方面,由于其在加速组织修复方面的潜力，脂肪注射和移植的效果引起了人们的极大兴趣。我们旨在评估脂肪注射与常规方法在屈肌腱损伤患者中的临床疗效。
■在这项随机临床试验中，64例患者随机安排在HazratFatemeh医院修复部位的近端和远端侧单独使用常规改良的Kessler四股法进行肌腱修复或使用四股法和脂肪注射进行肌腱修复,德黑兰省,2022年伊朗（IRCT20221206056723N1）。患者对修复后的肌腱功能状态进行8周的随访（使用Strickland分级测试），运动范围（通过体格检查）和屈伸间隙（通过成像）。
■在治疗后的第八周，接受脂肪注射组的平均Strickland评分明显较高(P:0.009).在两个尖锐的时代，在接受脂肪注射的患者中,平均活动范围显著较高,平均屈伸间隙显著较低.在治疗后的第五和第八周没有观察到手术副作用。
■脂肪注射以及用于肌腱修复的常规手术治疗可加速并改善肌腱功能和运动范围。
■在这项随机临床试验中，64例患者随机安排在HazratFatemeh医院修复部位的近端和远端侧单独使用常规改良的Kessler四股法进行肌腱修复或使用四股法和脂肪注射进行肌腱修复,德黑兰省,2022年伊朗（IRCT20221206056723N1）。患者对修复后的肌腱功能状态进行8周的随访（使用Strickland分级测试），运动范围（通过体格检查）和屈伸间隙（通过成像）。
■在治疗后的第八周，接受脂肪注射组的平均Strickland评分明显较高(P:0.009).在两个尖锐的时代，在接受脂肪注射的患者中,平均活动范围显著较高,平均屈伸间隙显著较低.在治疗后的第五和第八周没有观察到手术副作用。
■脂肪注射以及用于肌腱修复的常规手术治疗可加速并改善肌腱功能和运动范围。
