FLEKSÖR TENDON ONARIMLARINDAN SONRA ERKEN REHABÝLÝTASYON

Fleksör tendon ameliyatlarýndan sonra sýklýkla hareket kýsýtlýlýðý ve fonksiyon kayýplarýyla karþýlaþýlýr. Erken rehabilitasyon programlarýnýn uygulanmasýyla kalýcý fonksiyon kayýplarý en aza indirilebilir. Þubat 1996 ile Kasým 1998 tarihleri arasýnda Trakya Üniversitesi Týp Fakültesi Plastik ve Rekonstrüktif Cerrahi Anabilim Dalý'nda el yaralanmasý nedeniyle ameliyat edilen ve fleksör tendon kesisi olan 16'sý erkek, 5'i kadýn toplam 21 hasta bu çalýþmaya dahil edildi. Hastalara ameliyat sonrasý 4. günde Kleinert metoduna göre erken mobilizasyona baþlandý. Üçüncü haftanýn sonunda atel çýkarýlarak rehabilitasyon programý 8. haftaya kadar sürdürüldü. Erken mobilizasyonun etkinliði retrospektif olarak incelendi. Bütün sonuçlar Stringland kriterlerine göre deðerlendirildiðinde 17 olgu mükemmel, 2 olgu iyi, 1 olgu orta ve 1 olgu kötü olarak bulundu.

EARLY REHABILITATION AFTER FLEXOR TENDON REPAIR

Motion restriction and functional loss are frequently encountered after flexor tendon operations. Permanent functional loss can be minimized by application of early rehabilitation program. This study includes 16 male and 5 female patients which were operated for flexor tendon injuries in Trakya University School of Medicine between February 1996 and November 1998. Early mobilization with Kleinert technique was begun on the 4th post operative day. After 3 weeks the Kleinert splint was removed and rehabilitation program was continued until the post operative 8th week. Effectiveness of postoperative early mobilization was investigated retrospectively. Overall results by Strickland's criteria 17 cases were excellent, 2 cases were good, 1 case was fair and case was poor.