Player is loading...
A-0257 Comparison of functional outcome following two rehabilitation protocols after flexor tendon repair
Christian Wirtz, Elisabeth Oberfeld, Rahel Meier, Esther Vögelin, Department of Plastic and Hand Surgery, Inselspital, University of Bern, Switzerland
Friday, June 15, 2018 · 3:09 p.m. · 05m 04s
Embed
Embed code is not allowed
This talk is part of a Private webcast, embeding is not permited.Transcriptions
Note: this content has been automatically generated.
00:00:00
but i think it might well uh we refer to a patient probably view from
00:00:05
reflex attending repair that the first treated with that really active motion after treatment
00:00:11
maybe compared to this group another patient that we treated with a controlled active motion
00:00:17
well we use for the affects the tandem reap a six cost rents huge
00:00:21
technique but him sigh and with it between is teacher possible scale
00:00:26
and we have that rehabilitation protocol where we schedule the patient into the traffic light sheen
00:00:31
well what does that means red means that we have the more rustic chief
00:00:36
a rehabilitation inc we mean straight forward in b. c. decide this improper chiefly
00:00:41
yeah yeah when we see the patient of the quality of procedure
00:00:44
um and the quality of our tendon waltzing patient compliance
00:00:49
so this is our really active motion rehabilitation we have adults weren't splint with twenty
00:00:54
degrees of risk reflection as you would reserve m. p. n. p. p. join
00:01:00
and if this credit not scheduled even read that means that we have
00:01:03
a passive flexion and active extension with the rubber tension thing
00:01:07
a yellow means additional place and hold exercises and in green we have really active control motion
00:01:14
and with this we have a good results were published in in two thousand and eight
00:01:18
we have a rupture waited two percent and this this became our standard uh treatment
00:01:24
then a few days later and between two thousand and eleven
00:01:27
and fourteen whatever rising of or rupture waited twelve percent
00:01:32
without changing anything of our power meters so what we did is we changed or
00:01:36
rehabilitation protocol on from two thousand fourteen we started with the control active motion
00:01:41
this we cancelled the place and hold exercise we do and don't do this anymore
00:01:48
from the first day the patient wasn't passively to prevent um them for the email
00:01:54
and they advice to make a step was flexion actively into the palm a
00:01:58
just and and the fourth week they could reach a touch down
00:02:02
we also adaptable splint and we put the spin of the recent twenty
00:02:06
degrees of extension and thirty degrees of m. c. p. flexion
00:02:11
to uh um compare both groups we put the same exclusion criteria like
00:02:17
no publication and um we made a follow up to twelve weeks
00:02:22
these are our patients on the left to see the yen group right the can group
00:02:26
and we had a thirty sixty three m. f. t. p. ten
00:02:30
repairs and the camera compared to fifty one of the yeah
00:02:34
they just need the same comparable both groups and the command the concomitant injuries slightly more
00:02:40
the young group the then and we can you know these are our results
00:02:47
eh in the total active motion we have a significant decrease the
00:02:51
can groups compared to the game group and we free
00:02:54
what's this in the script and scan score with just thirty six percent of good
00:02:59
were excellent results uh compared to seventy eight and the good accent result something yeah in group
00:03:05
extension deficit in both groups uh it's nearly the same grips trend is
00:03:11
lower and we can put them in the u. k. m. group
00:03:15
and that was all crime logo to level the rupture rate we have
00:03:18
a four point seven percent which is comparable to the most
00:03:22
uh publications and literature compared to the rupture with that i just mentioned
00:03:28
so we looked up our complication because we of course but happy
00:03:33
with his results what resource that uh well we have
00:03:36
to hide a low percentage of extending good results have to
00:03:40
six after twelve weeks and even after six months followup
00:03:44
we just fifty seven a percent we could rises to the that but we could not reach
00:03:49
the same level that we have and the twelve weeks follow up and the yen group
00:03:55
so if we separate the just the came group and compare the accent and good ones with the
00:03:59
fan who once we put up for some um for some points could explain our results
00:04:06
and what we see is that well the h. we have new the double agent fan who wrote hand
00:04:12
but we could take it all in g. c. a. p. s. infection because mostly i'm uh come um
00:04:19
with this a fair for result it could explain this and are
00:04:23
factors that influence our one fair outcome so for conclusion
00:04:28
we can say is we have a forever will that effect of can
00:04:32
compare to e. m. rehabilitation uh focusing on the rupture rate
00:04:36
yeah the equal extension deficit but these more restraint and
00:04:41
control active motion might be the reason for this little straighten score and the slower rips trash
00:04:47
let's increase stands or falls with the place in whole exercises that could be
00:04:50
an explanation for this higher rupture rate but i you can see um
00:04:55
maybe we have more questions about this and you have not finished with it and books on all closed like a
Conference Program
A-0830 The effect of electromyographic (EMG) biofeedback training on electrical muscle activity and functional status in zone I-III flexor tendon injuries: preliminary results
Umut Eraslan 1, Ali Kitis 1, Ahmet Fahir Demirkan 2, 1 Pamukkale University, School of Physical Therapy and Rehabilitation, Denizli, Turkey; 2 Pamukkale University, Medical Faculty, Department of Orthopaedics and Traumatology, Denizli, Turkey
June 15, 2018 · 3:03 p.m.
113 views
A-0257 Comparison of functional outcome following two rehabilitation protocols after flexor tendon repair
Christian Wirtz, Elisabeth Oberfeld, Rahel Meier, Esther Vögelin, Department of Plastic and Hand Surgery, Inselspital, University of Bern, Switzerland
June 15, 2018 · 3:09 p.m.
A-0417 The Effect of Wrist Position on Tendon Loads Following Pulley Sectioning and Operative Reconstruction
Mohammad Haddara 1,2, Brett Byers 2, Louis Ferreira 1,2, Nina Suh 2, 1 Department of Biomedical Engineering, University of Western Ontario, London, ON, Canada; 2 Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada
June 15, 2018 · 3:15 p.m.
154 views
