The efficiency of Coban bandage on acute phase edema among patients undergoing a flexor tendon repair

Abstract

Introduction: To evaluate the efficiency of 3M Coban self-adherent wrap application on early (1-4 weeks) edema among patients undergoing surgery following a flexor tendon injury in Zone V or distal. Material and Method: The study included 56 patients who had flexor tendon injuries. The patients were randomized into two groups by the computerized randomization method. Both groups were applied the "Modified Duran Protocol" (MDP) early passive mobilization exercises and "Retrograde Edema Massage". In addition, was applied 3M Coban self-adherent wrap to Group II. Finger circumferences was measured using a tape measure, and the pain intensity was evaluated with a visual analog scale (VAS). A goniometer was used to measure the joint range of motion (ROM), the Duruoz hand index (DHI) to evaluate functionality level, and the quality of life was investigated using the short form-36 (SF-36). Results: The results showed that was statistically significant differences in both groups compared to pre-treatment (p<0.05). Edema, ROM, and all parameters of the DHI were found in both groups improved significantly (p<0.05). VAS pain scores at rest and activity were found significantly decreased in both groups compared to pre-treatment (p<0.001). In addition, pain at activity was found more significantly decreased in Group II (using bandage group). When it comes to the quality of life, there was a significant improvement in the SF-36 scores in both groups (p<0.05). In addition, increases in the scores on the "Physical Functioning" and "Physical Role" subscales were more significant in Group II (p<0.05). Conclusion: In flexor tendon injuries, early rehabilitation and close follow-ups are likely to improve edema, upper extremity functions, and quality of life among patients. "Early Passive Mobilization Exercises (the Modified Duran Protocol)" and "Retrograde Edema Massage" are rather effective in edema treatment. Overall, we suggest that 3M Coban self-adherent wrap application also contributes to reducing pain at activity and improving physical functions following flexor tendon repairs.

Keywords

• edema
• coban bandage
• flexor tendon injury

References

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