背景与目的屈肌腱损伤的发生率估计为每100,000人中7-14人。在印度,这种损伤很常见,其中约5%的损伤需要修复屈肌腱。在本研究中,我们在印度西部的三级护理中心分享我们手屈肌腱修复的经验。材料和方法在三年内,45例患者入院接受肌腱修复。在进行了适当的评估后,患者接受肌腱修复。在三个月结束时评估主要结果和次要结果参数。在有运动限制的患者中,物理治疗持续更长的时间。在每个阶段汇编数据。结果患者的平均年龄为28.84岁(范围:13-68岁),其中大多数病例属于15-60岁年龄组。大部分手部受伤是意外(由工伤事故造成,机器受伤,或动物咬伤)占80%(n=36),其次是袭击案件(11%,n=5)和自我伤害,即,自杀未遂(约9%,n=4)。在所有的伤害中,大多数在V区(60%,n=27),其次是II区的24.4%(n=11)的病例。一些案件在一区,III,和IV(2.2%,11.2%,和2.2%)。原发性损伤的Buck-Gramcko评分非常出色,恢复率为57.78%。结论屈指肌腱损伤的修复应以恢复强度和活动性为目标。为了获得最佳结果,完全主动运动方案应在手术修复后立即开始.然而,可能需要长期物理治疗才能获得预期的益处。
Background and objective The incidence of flexor tendon injury is estimated to be 7-14 per 100,000 population. In India, such injuries are common and about 5% of these injuries require repair of the flexor tendon. In the present
study, we share our experience of hand flexor tendon repair at a tertiary care center in western India. Material and methods Over a period of three years, 45 patients were admitted for tendon repair. After performing a proper evaluation, patients were taken for tendon repair. Primary outcome and secondary outcome parameters were assessed at the end of three months. Physiotherapy was continued for a longer duration in patients with movement restrictions. Data were compiled at each stage. Results The mean age of the patients was 28.84 years (range: 13-68 years) with a majority of the cases belonging to the age group 15-60 years. The majority of hand injuries were accidental (caused by work-related accidents, machine injuries, or animal bites) amounting to 80% (n=36), followed by assault cases (11%, n=5) and self-inflicted injuries, i.e., attempted suicides (around 9%, n=4). Among all injuries, the majority were in zone V (60%, n=27) followed by 24.4% (n=11) of cases in zone II. A few cases were in zone I, III, and IV (2.2%, 11.2%, and 2.2% respectively). The Buck-Gramcko scoring for primary injury was excellent with a recovery rate of 57.78%. Conclusion Flexor tendon injuries should be repaired with the aim of recovering strength as well as mobility. For optimal outcomes, total active motion protocol should be commenced immediately after the surgical repair. However, long-term physiotherapy may be required for attaining desired benefits.