CAJ | 학술논문

目的探讨断指再植手术治疗后患指使用CPM机进行功能锻炼的恢复效果.方法 2004年1月至2006年12月,对32例患者44指离断伤行断指再植术治疗,其中20例术后使用CPM机进行功能锻炼,12例术后未使用CPM机进行功能锻炼.观察手指功能的康复情况. 结果 32例患者术后获6～14个月(平均10个月)随访,患指全部成活.20例使用CPM机患者与12例末使用CPM机患者均纳入结果分析.运用顾玉东断指再植评定标准,使用CPM机组共20例26指,优6指,良13指,可4指,差3指,优良率为73.1%;未使用CPM机组共12例18指,优2指,良7指,可5指,差4指,优良率为50.0%. 结论断指再植术后2～12周使用CPM机进行功能锻炼,早期可以减轻疼痛,防止术后粘连,促进指间关节的功能恢复.
목적 탐토단지재식수술치료후환지사용CPM궤진행공능단련적회복효과.방법 2004년1월지2006년12월,대32례환자44지리단상행단지재식술치료,기중20례술후사용CPM궤진행공능단련,12례술후미사용CPM궤진행공능단련.관찰수지공능적강복정황. 결과 32례환자술후획6～14개월(평균10개월)수방,환지전부성활.20례사용CPM궤환자여12례말사용CPM궤환자균납입결과분석.운용고옥동단지재식평정표준,사용CPM궤조공20례26지,우6지,량13지,가4지,차3지,우량솔위73.1%;미사용CPM궤조공12례18지,우2지,량7지,가5지,차4지,우량솔위50.0%. 결론단지재식술후2～12주사용CPM궤진행공능단련,조기가이감경동통,방지술후점련,촉진지간관절적공능회복.
Objective To observe the effect of a continues passive motion (CPM) instrument used for functional recovery after digital replantation. Methods From January 2004 to December 2006, 32 patients with 44 severed fingers underwent digital replantation. After 2 to 12 weeks, 20 of them used a CPM instrument for functional training, and 12 of them did not. The functional recovery was compared between the 2 groups. Results All the cases were followed up for 6 to 14 (mean, 10) months. All the replants survived. According to GU Yu-dong's assessment of digital replantation, in the CPM group, 23.1% of the cases were rated as excellent, 50.0% as good, 15.4% as acceptable and 11.5% as poor, with the excellent to good rate being 73.1%. In the non-CPM group, 11.1% of the cases were rated as excellent, 38.9% as good, 27.8% as acceptable and 22.2% as poor, with the excellent to good rate being 50.0%. Conclusion The early use of a CPM instrument for functional training after digital replantation can relieve pain, prevent postoper-ative adhesion, promote functional recovery of interphalangeal joint, and prevent joint stiffness.