Nachbehandlung von Beugesehnenverletzungen

Die Nachbehandlung von Beugesehnenverletzungen ist sowohl aufgrund der vielfältigen Nahttechniken als auch unterschiedlichen Nachbehandlungsschemata bei Beugesehnenverletzungen sehr komplex und wird nach wie vor unterschiedlich praktiziert. Neben einem Überblick über die aktuellen Prinzipien und Methoden soll der Beitrag auch einen Ausblick auf zukünftige Behandlungsmöglichkeiten geben.

Abstract

Post-treatment of flexor tendon injuries is very complex due to the variety of suture techniques as well as different post-treatment regimens for flexor tendon injuries and is still practiced differently. In addition to an overview of current principles and methods, this article will also provide a view on future treatment options.

Schlüsselwörter

Nachbehandlung Beugesehnenverletzung - aktive und passive Schemata

Keywords

post-treatment flexor tendon injury - active and passive regime

• Literatur

• 1 Langer MF, Oeckenpöhler S, Kösters C. et al. Suture techniques for flexor tendons of the hand. Orthopade 2015; 44: 748-756
• 2 Tang JB. Flexor Tendon Injuries. Clin Plast Surg 2019; 46: 295-306
• 3 Pettengill KM. The evolution of early mobilization of the repaired flexor tendon. J Hand Ther 2005; 18: 157-168
• 4 Peters SE, Jha B, Ross M. Rehabilitation following surgery for flexor tendon injuries of the hand. Cochrane Database Syst Rev 2021; 1: CD012479
• 5 Pillukat T, van Schoonhoven J. Nahttechniken und Nahtmaterial in der Beugesehnenchirurgie. Trauma Berufskrankh 2021; 21: 128-133
• 6 Stephan C, Saalabian A, van Schoonhoven J. et al. Acute flexor tendon surgery. Oper Orthop Traumatol 2008; 20: 44-54
• 7 Bal S, Oz B, Gurgan A. et al. Anatomic and functional improvements achieved by rehabilitation in Zone II and Zone V flexor tendon injuries. Am J Phys Med Rehabil 2011; 90: 17-24
• 8 Moeller RT, Mentzel M, Vergote D. et al. Treatment of flexor tendon injuries in children. Unfallchirurg 2020; 123: 97-103
• 9 Nusche A, Schaller HE. Rehabilitation nach schwerer Handverletzung. Trauma Berufskrankh 2012; 14: 347-351
• 10 Lötgers TT, Joachim W. Beugesehnenverletzungen. OP-Journal 2015; 31: 160-166
• 11 Dorf E, Blue C, Smith BP. et al. Therapy after injury to the hand. J Am Acad Orthop Surg 2010; 18: 464-473
• 12 Asmus A, Kim S, Millrose M. et al. Rehabilitation after flexor tendon injuries of the hand. Orthopade 2015; 44: 786-802
• 13 Ayhan E, Tuna Z, Oksuz C. Getting Better Results in Flexor Tendon Surgery and Therapy. Plast Reconstr Surg Glob Open 2021; 9: e3432
• 14 Tang JB, Lalonde D, Harhaus L. et al. Flexor tendon repair: recent changes and current methods. J Hand Surg Eur Vol 2022; 47: 31-39
• 15 Lister GD, Kleinert HE, Kutz JE. et al. Primary flexor tendon repair followed by immediate controlled mobilization. J Hand Surg Am 1977; 2: 441-451
• 16 Brug E. [Primary repair of flexor tendons of the hand]. Unfallchirurg 1997; 100: 602-612
• 17 Werntz JR, Chesher SP, Breidenbach WC. et al. A new dynamic splint for postoperative treatment of flexor tendon injury. J Hand Surg Am 1989; 14: 559-566
• 18 Dovelle S, Heeter PK. The Washington Regimen: rehabilitation of the hand following flexor tendon injuries. Phys Ther 1989; 69: 1034-1040
• 19 Willkomm LM, Bickert B, Wendt H. et al. [Postoperative treatment and rehabilitation following flexor tendon injuries]. Unfallchirurg 2020; 123: 126-133
• 20 Peck F, Roe A, Ng C. et al. The Manchester short splint: A change to splinting practice in the rehabilitation of zone II flexor tendon repairs. Hand Therapy 2014; 19: 47-53
• 21 Wong JKF, Peck F. Improving results of flexor tendon repair and rehabilitation. Plast Reconstr Surg 2014; 134: 913e-925e
• 22 Lalonde D. True active motion is superior to full fist place and hold after flexor tendon repair. J Hand Surg Eur Vol 2019; 44: 866-867
• 23 Cannon N. Post flexor tendon repair motion protocol. Indiana Hand Center Newsletter 1993; 1: 13-17
• 24 Silfverskiöld K, May E. Early active mobilization after tendon transfers using mesh reinforced suture techniques. J Hand Surg Br 1995; 20: 291-300
• 25 Farzad M, Layeghi F, Asgari A. et al. A prospective randomized controlled trial of controlled passive mobilization vs. place and active hold exercises after zone 2 flexor tendon repair. Hand Surg 2014; 19: 53-59
• 26 Kraxner M. Ergotherapie-Blog handluns:plan. Accessed October 12, 2023 at: https://www.handlungsplan.net/wp-content/files/Fertigungsanleitung_active_place_and_hold-Schiene.pdf
• 27 Johnson SP, Kelley BP, Waljee JF. et al. Effect of Time to Hand Therapy following Zone II Flexor Tendon Repair. Plast Reconstr Surg Glob Open 2020; 8: e3278
• 28 Krischak GD, Krasteva A, Schneider F. et al. Physiotherapy after volar plating of wrist fractures is effective using a home exercise program. Arch Phys Med Rehabil 2009; 90: 537-544
• 29 Gülke J, Mentzel M, Krischak G. et al. [Early functional passive mobilization of flexor tendon injuries of the hand (zone 2): Exercise with an exoskeleton compared to physical therapy]. Unfallchirurg 2018; 121: 560-568
• 30 Svingen J, Rosengren J, Turesson C. et al. A smartphone application to facilitate adherence to home-based exercise after flexor tendon repair: A randomised controlled trial. Clin Rehabil 2021; 35: 266-275