Abstract：
Background: To restore distal radioulnar joint stability following injury to the Triangular Fibrocartilage Complex (TFCC), foveal repair surgery may be necessary. Post-surgery rehabilitation is prescribed to restore wrist and hand function; however, no universally accepted or definitive rehabilitation protocol currently exists. The aim of this study was to survey hand and wrist surgeons regarding their recommended postoperative rehabilitation protocols following TFCC foveal repair surgery. Methods: Australian hand and wrist surgeons were invited to complete a descriptive survey containing 10 questions. Questions included clinical recommendations for wrist and forearm immobilisation, range of motion (ROM) exercise timeframes and surgeon experience of TFCC rupture. Descriptive statistics and between-group (TFCC rupture vs. no-rupture) comparisons (Pearson\'s Chi2) were calculated. Results: Thirty-one surgeons completed the survey. Recommendations for post-surgery immobilisation ranged from \'not required\' to 8 weeks (mode 6 weeks). Wrist and forearm ROM commencement time ranged from \'immediately\' to \'later than 8 weeks\' (mode 6 weeks). The most recommended orthosis was a \'sugar-tong\' (57%). Thirty-seven percent (37%) reported experience of post-surgery re-rupture. Conclusions: While surgeon recommendations varied, the majority recommended 4- to 6-week timeframe for immobilisation and ROM exercise commencement. Additional clinical research is recommended to evaluate whether postoperative rehabilitation decisions influence patient outcomes. Level of Evidence: Level V (Therapeutic).
摘要：
背景：为了在三角纤维软骨复合体（TFCC）损伤后恢复远端的尺右臂关节稳定性，中央凹修复手术可能是必要的。手术后康复是为了恢复腕部和手部功能；然而，目前尚无普遍接受或确定的康复方案.这项研究的目的是调查手和腕部外科医生在TFCC中央凹修复手术后推荐的术后康复方案。方法：邀请澳大利亚的手和腕部外科医生完成包含10个问题的描述性调查。问题包括腕部和前臂固定的临床建议，TFCC破裂的运动范围（ROM）锻炼时间和外科医生经验。描述性统计和组间(TFCC破裂与计算了无破裂）比较（Pearson'sChi2）。结果：31名外科医生完成了调查。术后固定的建议范围从“不需要”到8周（模式6周）。腕部和前臂ROM开始时间为\'立即\'至\'晚于8周\'（模式6周）。最推荐的矫形器是“糖通”(57%)。37％（37％）报告了手术后再破裂的经验。结论：虽然外科医生的建议各不相同，大多数人建议在4至6周的时间范围内进行固定和ROM锻炼。建议进行其他临床研究，以评估术后康复决策是否会影响患者的预后。证据等级：V级（治疗）。
