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The effect of smoking on post-operative finger range of motion in patients with tendon grafts
I. Justan, P. Ovesná, T. Kubek, P. Hýža, I. Stupka, Z. Dvořák,
Language English Country Greece
Document type Journal Article
 NLK 
   
      Free Medical Journals
   
    from 2004 to 2 years ago
   
      Open Access Digital Library
   
    from 2004-01-01
    
    PubMed
          
           21709017
           
          
          
  
    Knihovny.cz E-resources
    
  
              
      
- MeSH
- Smoking MeSH
- Humans MeSH
- Postoperative Period MeSH
- Tendon Injuries rehabilitation surgery MeSH
- Fingers surgery MeSH
- Range of Motion, Articular MeSH
- Tendons surgery transplantation MeSH
- Exercise Therapy MeSH
- Transplants MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
BACKGROUND: The finger range of motion (ROM) was evaluated in patients with hand flexor tendon replacement using a tendon graft and the effect of smoking was investigated. The first hypothesis was: a tendon graft increases the post-operative ROM. The second hypothesis was: smoking has a negative effect on the final finger ROM. PATIENTS AND METHODS: Fifty seven autologous tendon grafts in 48 patients were included. The patients were grouped as non-smokers or smokers ("light" or "heavy"). The modified Strickland system and Total Active Motion (TAM) system, were chosen for the evaluation. RESULTS: The first hypothesis was proved by all the measurements. The post-operative status assessed by the Strickland method was different between the non-smokers and smokers with a better score in the smokers. CONCLUSION: A significant ROM improvement occurs after reconstruction and is even slightly better in smokers than in non-smokers.
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- $a Justan, Ivan $u Department of Plastic and Aesthetic Surgery, Masaryk University, Faculty of Medicine, St. Anne's University Hospital, Brno, Czech Republic. justan@operativa.cz
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- $a The effect of smoking on post-operative finger range of motion in patients with tendon grafts / $c I. Justan, P. Ovesná, T. Kubek, P. Hýža, I. Stupka, Z. Dvořák,
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- $a BACKGROUND: The finger range of motion (ROM) was evaluated in patients with hand flexor tendon replacement using a tendon graft and the effect of smoking was investigated. The first hypothesis was: a tendon graft increases the post-operative ROM. The second hypothesis was: smoking has a negative effect on the final finger ROM. PATIENTS AND METHODS: Fifty seven autologous tendon grafts in 48 patients were included. The patients were grouped as non-smokers or smokers ("light" or "heavy"). The modified Strickland system and Total Active Motion (TAM) system, were chosen for the evaluation. RESULTS: The first hypothesis was proved by all the measurements. The post-operative status assessed by the Strickland method was different between the non-smokers and smokers with a better score in the smokers. CONCLUSION: A significant ROM improvement occurs after reconstruction and is even slightly better in smokers than in non-smokers.
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