日本マイクロサージャリー学会会誌
Online ISSN : 2185-9949
Print ISSN : 0916-4936
ISSN-L : 2185-9949
原著
再接着術後 (玉井Zone分類別) の治療成績とセラピィポイント
原田 康江神田 俊浩向田 雅司山口 幸之助増田 雅樹
著者情報
キーワード: 再接着, 治療成績, 後療法
ジャーナル 認証あり

2024 年 37 巻 1 号 p. 1-10

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抄録

  We investigated %TAM, grip strength, perception, and DASH (JSSH Version) in patients who underwent replantation following complete finger amputation, categorized according to the Tamai Zone classification. In Zone I and II, the postoperative outcomes were generally favorable; however, instances of poor sensory recovery were observed, suggesting that detailed therapy, including sensory re-education, may be required. In Zone III, the range of motion of the DIP joint may decrease. Therefore, it is important to focus on obtaining satisfactory range of motion in the PIP joint. In Zone IV, early postoperative emphasis should be on achieving finger extension range of motion, so that only flexor tendon tenolysis is necessary as a second-stage procedure. Recently, patients have diverse life backgrounds; thus, it is important to set individual goals, such as specific acquisition angles for each finger, and appropriate treatment strategies.

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