Early rehabilitation outcome and demographic and clinical features of patients with traumatic tendon injury/ Travmatik tendon yaralanmali hastalarin erken rehabilitasyon sonuclari ve demografik, klinik ozellikleri

Objective: Tendon injuries are among the most common forms of traumatic hand injuries. We aimed in this study to report the rehabilitation outcomes of flexor, extensor and combined tendon injuries. Materials and Methods: Thirty-seven patients (110 digits) with traumatic hand injury who were treated by plastic and reconstructive surgery and attended our outpatient clinic for rehabilitation were included in the study. Twenty-five patients (67.6 %) with 78 tendons had flexor (FTI), 8 patients (21.6%) with 18 tendons had extensor (ETI), and 4 patients (10.8%) with 12 tendons had both flexor and extensor tendon injury (combined) (CTI). Patients with FTI were treated by the Kleinert protocol, and those with ETI and CTI were treated by the immobilization technique. Patients in all groups were assessed by the total active motion (TAM) scoring system of the American Society of Surgery of Hand (ASSH), distal palmar crease-finger tip distance (DPCFD), and wrist range of motion (ROM) at the 4th and 8th weeks of the rehabilitation protocol. Results: Excellent and good results were obtained in 51.3% of FTI patients, 94.4% of ETI patients and 58.4% of CTI patients. Conclusion: Even at the 8th week of the rehabilitation period ETI results of our patients were satisfactory. Both FTI and CTI patients had fewer excellent and good results at the 8th week and these injuries need close and longer follow up of the patients. Key Words: Rehabilitation outcome, traumatic tendon injury Amac: Travmatik el yaralanmalarinin en sik gorulen flekillerinden biri tendon yaralanmalaridir. Bu califlmada fleksor, ekstensor ve kombine tendon yaralanmalarinin rehabilitasyon sonuclarini yayinlamayi amacladik. Gerec ve Yontem: Plastik ve Rekonstriktif Cerrahi klinigimizde opere olmufl ve poliklinigimize rehabilitasyon amacli baflvurmufl 37 travmatik el yaralanmali hasta (110 parmak) califlmaya alindi. Yetmiflsekiz tendon ile 25 hastanin (%67,6) fleksor (FTY); 18 tendon ile 8 hastanin (%21,6) ekstensor (ETY) ve 12 tendon ile 4 hastanin (%10,8) hem fleksor hem de ekstensor tendon yaralanmasi (kombine) (KTY) mevcuttu. FTY olan hastalar Kleinert protokolu ile; ETY ve KTY olan hastalar immobilizasyon teknigi ile tedavi edildi. Tum gruplardaki hastalar, Amerikan El Cerrahisi Birligine ait total aktif hareket skorlama sistemine, distal palmar cizgi parmak ucu mesafesine ve el bilegi eklem hareket acikligina gore rehabilitasyon protokolunun 4. ve 8. haftalarinda degerlendirildi. Bulgular: FTY hastalarin %