Öz
Teşekkür
Bu çalışmanın yürütülmesinde kliniğini ve tüm imkanlarını açan Ankara Şehir Hastanesi Fizik Tedavi ve Rehabilitasyon Hastanesi Başhekimi Prof. Dr. Evren Yaşar başta olmak üzere, desteklerinden dolayı travmatik el rehabilitasyon kliniğinin değerli hocaları, fizyoterapistleri, protez ortez teknikeri ve tüm ekibe teşekkür ederiz.
Kaynakça
- Kuran, B. Tendon yaralanmaları ve rehabilitasyonu. içinde: El Rehabilitasyonu. ed. Çerezci, Ö, Ataker Y, Canbulat N, Güdemez E. Amerikan Hastanesi Derg 2013; 171-99.
- Manninen M, Karjalainen T, Määttä J, Flinkkilä T. Epidemiology of flexor tendon injuries of the hand in a Northern Finnish population. Scand J Surg 2017; 106: 278-82.
- Dy CJ, Hernandez-Soria A, Ma Y, Roberts RT, Daluiski A. Complications after flexor tendon repair: a systematic review and meta-analysis. J Hand Surg 2012; 37: 543-51.
- Gibson PD, Sobol GL, Ahmed IH. Zone II flexor tendon repairsin the United States: trends in current management. J Hand Surg 2017; 42: e99-e108.
- Pişkin A, Yücetürk A, Tomak Y, et al. Tendon repair with the strengthened modified Kessler, modified Kessler, and Savage suture techniques: a biomechanical comparison. Acta Orthop Traumatol Turc 2007; 41: 238-43.
- Kleinert H. Primary repair of lacerated flexor tendons in” no man’s land”. J Bone Joint Surg 1967; 49: 577.
- Lee H. Double loop locking suture: A technique of tendon repair for early active mobilization Part I: Evolution of technique and experimental study. J Hand Surg 1990; 15: 945-52.
- Çetin A, Dinçer F, Keçik A, Çetin M. Rehabiliation of flexor tendon injuries by use of a combined regimen of modified Kleinert and modified Duran techniques. Am J Physical Med Rehab 2001; 80: 721-8.
- Duran RJ, Houser RG, Coleman CR, Stover MG. Management of flexor tendon lacerations in zone 2 using controlled passive motion postoperatively. Tendon Surg in the Hand. St Louis: CV Mosby, 1978: 178-82.
- Gül Ş. Fleksör tendon kesisi olan hastalarda erken aktif mobilizasyon ve modifiye duran protokollerinin etkinliğinin retrospektif olarak incelenmesi, in Fiziksel Tıp ve Rehab A.B.D 2019, Hacettepe Üniversitesi: Ankara.
- Uysal M. Deformite cerrahisi komplikasyonları ve tedavisi. Sakarya Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Sakarya. TOTBİD 2020; 19: 312–9.
- Leclère FM, Mathys L, Juon B, Vögelin E. The role of dynamic ultrasound in the immediate conservative treatment of volar plate injuries of the PIP joint: a series of 78 patients. Plastic Surg 2017; 25: 151-6.
- Duran R. A preliminary report in the use of controlled passive motion following flexor tendon repair in zones II and III. J Hand Surg 1976; 1: 79.
- Büyükturan Ö, Ceylan İ, Erden Z, Erçetin Ö. Zon 2 fleksör tendon yaralanmalarında Modifiye Duran Protokolünün klinik sonuçları. J Exercise Ther Rehabil 2018. 5: 150-7.
- Flowers KR. String wrapping versus massage for reducing digital volume. Physical Ther 1988; 68: 57-9.
- Miller LK, Jerosch-Herold C, Shepstone L. Effectiveness of edema management techniques for subacute hand edema: a systematic review. J Hand Ther 2017. 30: 432-46.
- Seçkin Ü. Rehabilitation of the Tendon Injuries in the Hand. Türkiye Klinikleri J PM&R-Special Topics 2008; 1: 38-47.
- Quinlan CS, Hevican C, Kelly JL. A useful dressing for isolated digit injuries. Eur J Orthopedic Surg Traumatol 2018; 28: 999- 1000.
- Güdemez E, Ataker Y, Cömert Ece S. El ve El Bileği Muayenesi, Kayıt Tutma, Fotoğraflama in El rehabilitasyonu. ed. Çerezci, Ö, Ataker, Y, Canbulat, N, Güdemez, E. Amerikan Hastanesi; 2013; 19-43
- Hwang JH, Lee CH, Lee HH, Kim SY. A new soft tissue volüme measurement strategy using ultrasonography. Lymphatic Res Biol 2014; 12: 89-94.
- Lowell M, Pirc P, Ward RS, et al. Effect of 3M™ Coban™ self adherent wraps on edema and function of the burned hand: a case study. J Burn Care Rehabil 2003; 24: 253-8.
- Paker N, Alp M, Bardak AN, Buğdaycı D, Sabırlı F, Ersoy S. Evaluation of wrist range of motion and hand grip strength in women with the diagnosis of carpal tunnel syndrome: a controlled study. J Physical Med Rehabil Sci 2020; 23: 57-61
- Duruöz MT, Poiraudeau S, Fermanıan J, Menkes C J. Development and validation of a rheumatoid hand functional disability scale that assesses functional hadicap. J Rheumatol 1996; 23: 1167- 72.
- Dixon, J, and Bird, H. Reproducibility along a 10 cm vertical visual analogue scale. Annals of the Rheumatic Diseases 1981; 40: 87-9.
- Demiral Y, Ergor G, Unal B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health 2006; 6: 1-8.
- Moffatt CJ, Franks PJ, Hardy D, Lewis M, Parker V, Feldman JL. A preliminary randomized controlled study to determine the application frequency of a new lymphoedema bandaging system. Bri J Dermatol 2012; 166: 624-32.
- Lutsky KF, Giang EL, Matzon JL. Flexor tendon injury, repair and rehabilitation. Orthop Clinics 2015; 46: 67-76.
- Frueh FS, Kunz VS, Gravestock IJ, et al. Primary flexor tendon repair in zones 1 and 2: early passive mobilization versus controlled active motion. J Hand Surg 2014; 39: 1344-50.
- Kitis PA, Buker N, Kara IG. Comparison of two methods of controlled mobilisation of repaired flexor tendons in zone 2. Scand J Plastic Reconstruct Surg Hand Surg 2009; 43: 160 5.
- Bircan C, El Ö, Akalın E, et al. Functional outcome in patients with zone V flexor tendon injuries. Arch Orthop Trauma Surg 2005; 125: 405-9.
- Chan TK, Ho CO, Lee WK, Fung YK, Law YF, Tsang CY. Functional outcome of the hand following flexor tendon repair at the ‘no man’s land’. J Orthop Surg 2006; 14: 178-83.
- Strickland JW, Glogovac SV. Digital function following flexor tendon repair in zone II: a comparison of immobilization and controlled passive motion techniques. J Hand Surg 1980; 5: 537- 43.
- Turan Y, Duruöz MT, Aksakallı E, Gürgan A. Validation of Duruöz Hand Index for diabetic hand dysfunction. J Invest Med 2009; 57: 887-91.
- Erçalık T, Şahin F, Erçalık C, Doğu B, Dalgıç S, Kuran B. Psychometric characteristics of Duruoz Hand Index in patients with traumatic hand flexor tendon injuries. Disabil Reh 2011; 33: 1521-7.
- Jonker L, Bell L, Robinson K, Davidson K, Dawson M. Application of compression bandaging post-osteotomy results in altered pain profile; results of a single-centre randomised controlled trial. Int J Orthop Trauma Nurs 2021; 42: 100833.
- Lee M, Jung YR, Lee YK. Trigger finger secondary to a neglected flexor tendon rupture. Med 2019; 98: e13980.
- Galasso O, Mariconda M, Donato G, et al. Histopathological, clinical, and electrophysiological features influencing postoperative outcomes in carpal tunnel syndrome. J Orthop Res 2011; 29: 1298-1304.
- Oktayoğlu P, Acar A, Gündüz İ, Cağlayan M, Akbostancı, MC. Assessment of hand functions inpatients with idiopathic cervical dystonia. Human Movement Sci 2020; 70: 102581.
The efficiency of Coban bandage on acute phase edema among patients undergoing a flexor tendon repair
Öz
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.
Anahtar Kelimeler
Kaynakça
- Kuran, B. Tendon yaralanmaları ve rehabilitasyonu. içinde: El Rehabilitasyonu. ed. Çerezci, Ö, Ataker Y, Canbulat N, Güdemez E. Amerikan Hastanesi Derg 2013; 171-99.
- Manninen M, Karjalainen T, Määttä J, Flinkkilä T. Epidemiology of flexor tendon injuries of the hand in a Northern Finnish population. Scand J Surg 2017; 106: 278-82.
- Dy CJ, Hernandez-Soria A, Ma Y, Roberts RT, Daluiski A. Complications after flexor tendon repair: a systematic review and meta-analysis. J Hand Surg 2012; 37: 543-51.
- Gibson PD, Sobol GL, Ahmed IH. Zone II flexor tendon repairsin the United States: trends in current management. J Hand Surg 2017; 42: e99-e108.
- Pişkin A, Yücetürk A, Tomak Y, et al. Tendon repair with the strengthened modified Kessler, modified Kessler, and Savage suture techniques: a biomechanical comparison. Acta Orthop Traumatol Turc 2007; 41: 238-43.
- Kleinert H. Primary repair of lacerated flexor tendons in” no man’s land”. J Bone Joint Surg 1967; 49: 577.
- Lee H. Double loop locking suture: A technique of tendon repair for early active mobilization Part I: Evolution of technique and experimental study. J Hand Surg 1990; 15: 945-52.
- Çetin A, Dinçer F, Keçik A, Çetin M. Rehabiliation of flexor tendon injuries by use of a combined regimen of modified Kleinert and modified Duran techniques. Am J Physical Med Rehab 2001; 80: 721-8.
- Duran RJ, Houser RG, Coleman CR, Stover MG. Management of flexor tendon lacerations in zone 2 using controlled passive motion postoperatively. Tendon Surg in the Hand. St Louis: CV Mosby, 1978: 178-82.
- Gül Ş. Fleksör tendon kesisi olan hastalarda erken aktif mobilizasyon ve modifiye duran protokollerinin etkinliğinin retrospektif olarak incelenmesi, in Fiziksel Tıp ve Rehab A.B.D 2019, Hacettepe Üniversitesi: Ankara.
- Uysal M. Deformite cerrahisi komplikasyonları ve tedavisi. Sakarya Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Sakarya. TOTBİD 2020; 19: 312–9.
- Leclère FM, Mathys L, Juon B, Vögelin E. The role of dynamic ultrasound in the immediate conservative treatment of volar plate injuries of the PIP joint: a series of 78 patients. Plastic Surg 2017; 25: 151-6.
- Duran R. A preliminary report in the use of controlled passive motion following flexor tendon repair in zones II and III. J Hand Surg 1976; 1: 79.
- Büyükturan Ö, Ceylan İ, Erden Z, Erçetin Ö. Zon 2 fleksör tendon yaralanmalarında Modifiye Duran Protokolünün klinik sonuçları. J Exercise Ther Rehabil 2018. 5: 150-7.
- Flowers KR. String wrapping versus massage for reducing digital volume. Physical Ther 1988; 68: 57-9.
- Miller LK, Jerosch-Herold C, Shepstone L. Effectiveness of edema management techniques for subacute hand edema: a systematic review. J Hand Ther 2017. 30: 432-46.
- Seçkin Ü. Rehabilitation of the Tendon Injuries in the Hand. Türkiye Klinikleri J PM&R-Special Topics 2008; 1: 38-47.
- Quinlan CS, Hevican C, Kelly JL. A useful dressing for isolated digit injuries. Eur J Orthopedic Surg Traumatol 2018; 28: 999- 1000.
- Güdemez E, Ataker Y, Cömert Ece S. El ve El Bileği Muayenesi, Kayıt Tutma, Fotoğraflama in El rehabilitasyonu. ed. Çerezci, Ö, Ataker, Y, Canbulat, N, Güdemez, E. Amerikan Hastanesi; 2013; 19-43
- Hwang JH, Lee CH, Lee HH, Kim SY. A new soft tissue volüme measurement strategy using ultrasonography. Lymphatic Res Biol 2014; 12: 89-94.
- Lowell M, Pirc P, Ward RS, et al. Effect of 3M™ Coban™ self adherent wraps on edema and function of the burned hand: a case study. J Burn Care Rehabil 2003; 24: 253-8.
- Paker N, Alp M, Bardak AN, Buğdaycı D, Sabırlı F, Ersoy S. Evaluation of wrist range of motion and hand grip strength in women with the diagnosis of carpal tunnel syndrome: a controlled study. J Physical Med Rehabil Sci 2020; 23: 57-61
- Duruöz MT, Poiraudeau S, Fermanıan J, Menkes C J. Development and validation of a rheumatoid hand functional disability scale that assesses functional hadicap. J Rheumatol 1996; 23: 1167- 72.
- Dixon, J, and Bird, H. Reproducibility along a 10 cm vertical visual analogue scale. Annals of the Rheumatic Diseases 1981; 40: 87-9.
- Demiral Y, Ergor G, Unal B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health 2006; 6: 1-8.
- Moffatt CJ, Franks PJ, Hardy D, Lewis M, Parker V, Feldman JL. A preliminary randomized controlled study to determine the application frequency of a new lymphoedema bandaging system. Bri J Dermatol 2012; 166: 624-32.
- Lutsky KF, Giang EL, Matzon JL. Flexor tendon injury, repair and rehabilitation. Orthop Clinics 2015; 46: 67-76.
- Frueh FS, Kunz VS, Gravestock IJ, et al. Primary flexor tendon repair in zones 1 and 2: early passive mobilization versus controlled active motion. J Hand Surg 2014; 39: 1344-50.
- Kitis PA, Buker N, Kara IG. Comparison of two methods of controlled mobilisation of repaired flexor tendons in zone 2. Scand J Plastic Reconstruct Surg Hand Surg 2009; 43: 160 5.
- Bircan C, El Ö, Akalın E, et al. Functional outcome in patients with zone V flexor tendon injuries. Arch Orthop Trauma Surg 2005; 125: 405-9.
- Chan TK, Ho CO, Lee WK, Fung YK, Law YF, Tsang CY. Functional outcome of the hand following flexor tendon repair at the ‘no man’s land’. J Orthop Surg 2006; 14: 178-83.
- Strickland JW, Glogovac SV. Digital function following flexor tendon repair in zone II: a comparison of immobilization and controlled passive motion techniques. J Hand Surg 1980; 5: 537- 43.
- Turan Y, Duruöz MT, Aksakallı E, Gürgan A. Validation of Duruöz Hand Index for diabetic hand dysfunction. J Invest Med 2009; 57: 887-91.
- Erçalık T, Şahin F, Erçalık C, Doğu B, Dalgıç S, Kuran B. Psychometric characteristics of Duruoz Hand Index in patients with traumatic hand flexor tendon injuries. Disabil Reh 2011; 33: 1521-7.
- Jonker L, Bell L, Robinson K, Davidson K, Dawson M. Application of compression bandaging post-osteotomy results in altered pain profile; results of a single-centre randomised controlled trial. Int J Orthop Trauma Nurs 2021; 42: 100833.
- Lee M, Jung YR, Lee YK. Trigger finger secondary to a neglected flexor tendon rupture. Med 2019; 98: e13980.
- Galasso O, Mariconda M, Donato G, et al. Histopathological, clinical, and electrophysiological features influencing postoperative outcomes in carpal tunnel syndrome. J Orthop Res 2011; 29: 1298-1304.
- Oktayoğlu P, Acar A, Gündüz İ, Cağlayan M, Akbostancı, MC. Assessment of hand functions inpatients with idiopathic cervical dystonia. Human Movement Sci 2020; 70: 102581.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Orijinal Makale |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Mart 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 5 Sayı: 2 |
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
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Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamıştır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/2316/file/4905/show
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