手外伤的康复（57页）.pptVIP

屈指肌腱分区 Ⅰ区 Ⅱ区 Ⅲ区 Ⅳ区 Ⅴ区 Primary repair Zone 1-3 (PIP) 1-3days fit dorsal blocking splint wrist 20° flexion, MTP 50° flexion edema control passive motion of fingers into flexion active extension into brace 4-5wks begin AROM for fingers and wrist flexion with brace removed wrist extension to neutral fist and hook fist passive PIP flexion with MTP 90° 5-6wks d/c DBS full passive flexion 6wks initiate passive extension fit extension splint for night use 8wks resistive exercises begin nerf ball, paper crushing, putty but no lifting 10-12wks full use in ADLs, initiate sports drills Primary repair -