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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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The most important predictor factors of long-term results following Zone II flexor tendon injury, considering ICF components

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  • presenting/speaker Erfan Shafiee - University of Social Welfare and Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran
  • Maryam Farzad - University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1084

doi: 10.3205/19ifssh1455, urn:nbn:de:0183-19ifssh14555

Published: February 6, 2020

© 2020 Shafiee et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Zone II flexor tendon injury of the hand is of the most challenging condition which require vigorous rehabilitation treatment to gain an excellent outcome. In the mean while optimal outcome achievement, are not common, and patients experience a series of complications. In spite of using stronger repairs and active rehabilitation methods, results are different from poor to excellent. This disparity can be depended on some factors that can change the results.

These complications are long standing, and even after a successful treatment, patients are faced with some sort of limitations in their ADL and restrictions in participation. This part of health is commonly ignored in evaluation and treatments by therapist.

Recently researchers are considering other aspects of health status to address actual health achievement, based on ICF components.

Materials and Methods: In this study, patients with zone II flexor tendon injury, referred to Iran Hand rehab Center through past 6 years, reevaluated at least 1 year following their discharge in respect of: ROM, Participation, Disability and functional status. Demographic data, personal and environmental factors were also recorded. Linear and logistic regression analysis was used in order to determine the most important risk factors and their odd ratio.

Evaluating participation and finding the correlation between impairment, disability and participation and finding out the most important risk factors for final outcome is the innovation of this study.

Results: Defining the most important risk factors and predictors of outcomes, are essential for therapists and surgeon to achieve better outcomes.

Conclusions: Handling the risk factors in early stage of treatment can change the final result in an optimal range. Considering the whole aspects of health status, based on ICF components, is more comprehensive in treating and managing the patient's condition.

The emphasis on health status, leads to address higher degrees of patient satisfaction following flexor tendon injury.