Reyad, K., Elmahmoudy, N., Abdelsabour, H. (2020). Impact of Changing Post-Operative Flexor Tendon Rehabilitation Program with Early Detection of Complications. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), 433-436. doi: 10.21608/ejprs.2020.68183
Khlaed Reyad; Niveen F Elmahmoudy; Hala Abdelsabour. "Impact of Changing Post-Operative Flexor Tendon Rehabilitation Program with Early Detection of Complications". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 3, 2020, 433-436. doi: 10.21608/ejprs.2020.68183
Reyad, K., Elmahmoudy, N., Abdelsabour, H. (2020). 'Impact of Changing Post-Operative Flexor Tendon Rehabilitation Program with Early Detection of Complications', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), pp. 433-436. doi: 10.21608/ejprs.2020.68183
Reyad, K., Elmahmoudy, N., Abdelsabour, H. Impact of Changing Post-Operative Flexor Tendon Rehabilitation Program with Early Detection of Complications. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 43(3): 433-436. doi: 10.21608/ejprs.2020.68183
Impact of Changing Post-Operative Flexor Tendon Rehabilitation Program with Early Detection of Complications
1The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2The Department of Physical Medicine and Rehabilitation; Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Background: Hand injuries are among the most frequent injuries worldwide, constituting between 6.65% to 28.6% of all injuries and 28% of injuries to the musculoskeletal system. Early post-operative rehabilitation and splinting after flexor tendon repair is very important to improve tendon healing. Presence of dedicated physical therapists play a golden role in early rehabilitation and diagnosis of tendon complications. Patients and Methods: Data collected from all admitted cases with hand injuries during the period (from January 2016 to December 2017). In late 2016, a dedicated physical rehabilitation hand subunit was created in Physical Medicine and Rehabilitation Department. Hand ultrasound was done to exclude tendon rupture or tendon adhesions. Results: 475 cases of flexor tendon injury, zone II injuries for fingers were the most common meanwhile, for thumb injuries; zone III in 2016 and zone II in 2017 were the most common, the rate of flexor tendon rupture in 2016 was 4.32% (3.3% was early rupture within three weeks) while in 2017 was 2.87% (2.6% were early rupture after three weeks), Tendon adhesions occurred in 7.32% of total cased in 2016 while in 2017 was 4.76%. Conclusion: Epidemiological data enhances our knowledge of injury patterns and may play a role in the treatment of tendon injuries. With early physical rehabilitation, better prognosis was achieved and hence better functional outcome.