Zon 2 fleksör tendon yaralanmalarında Modifiye Duran Protokolünün klinik sonuçları

Yıl 2018, Cilt: 5 Sayı: 3, 150 - 157, 25.12.2018

Öznur Büyükturan İsmail Ceylan Zafer Erden Ömer Erçetin

Öz

Amaç: Bu çalışmanın amacı zon 2 fleksör tendon yaralanması sonrası primer cerrahi uygulanan bireylerde erken rehabilitasyonun etkinliğinin sonuçlarını değerlendirmekti.

Yöntem: Çalışmaya retrospektif olarak 33 birey (43 parmak) dahil edildi. Dört dikişli merkezi krusiyat dikiş tekniği ile primer tamiri yapılmış bireylerin rehabilitasyonunda, Modifiye Duran Tekniği kullanıldı. Bireylerin fonksiyonellikleri, kol omuz ve el sorunları anketi kısa formu (Q-DASH) ve total aktif hareket formülü (TAH) ile, ağrıları vizüel analog skala (VAS) ile, ödemleri ise sekiz şekilli ölçüm yöntemi ile değerlendirildi.

Bulgular: Rehabilitasyon programı sonrasında, Q-DASH, ödem ve ağrı skorları açısından iyileşme olduğu saptandı (p<0,001). Total Aktif Hareket skorları incelendiğinde 39 parmağın orta, iyi veya mükemmel olarak değerlendirildiği görüldü.

Sonuç: Dört dikişli merkezi krusiyat dikiş tekniği ile tamir edilmiş Zon 2 fleksör tendon yaralanmalı bireylerde Modifiye Duran Protokolü’nün, komplikasyonları azaltan ve fonksiyonelliği artıran bir yöntem olduğu düşünülmektedir.

Anahtar Kelimeler

Primer fleksör tendon tamiri, Erken aktif hareket, Tendon yaralanmaları, Fleksör tendonlar

Clinical outcomes of Modified Duran Protocol following zone 2 flexor tendon injuries

Öz

Purpose: The purpose of this study was to evaluate the effectiveness of early rehabilitation in patients undergoing primer surgery following zone-2 flexor tendon injury.

Methods: Thirty three cases (43 fingers) were included in this study, retrospectively. Modified Duran Protocol was applied to the individuals who undergone primer repair with 4-strand cruciate core technique. Functionality, pain and edema of the cases were assessed with Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) and total active motion (TAM), visual analogue scale (VAS), and with figure-of eight method, respectively.

Results: There were significant improvements in Q-DASH, edema and pain scores were recorded (p<0.001). Thirty-nine fingers were evaluated as fair, good or excellent according to TAM scores.

Conclusion: We suggest that Modified Duran Protocol reduces complications and improves function in Zone 2 flexor tendon injured cases that are repaired with four strand cruciate core technique.

Anahtar Kelimeler

Primary flexor tendon repair, Early active motion, Tendon injuries, Flexor tendons

Kaynakça

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