Objective In patients with hand skin injury (retrograde avulsion), a multifunctional brace was used for adjuvant treatment. Methods From July 2014 to July 2017, the study of 116 cases of hand degloving injury patients, randomly divided into treatment group with a (based on regular treatment, using the research, with a multifunctional applied to patients with surgery and postoperative rehabilitation process) and conventional treatment group (routine debridement, sterilization, cleaning, tendon suture repair and graft, finally using the VSD technique and using dressing). Before and after treatment, the differences between the two groups in the Angle of tiger's mouth, the distance between tiger's mouth, the degree of finger movement and TAM rating were compared, and the statistical differences in postoperative complications and clinical efficacy between the two groups were compared. Results At the 8 and 12 weeks after operation, the increase of tiger mouth angle and distance, active range of motion, maximum extension angle, maximum flexion angle and TAM rating of the brace treatment group were better than those of the conventional treatment group, and the differences were statistically significant(P <0.05). Comparing the two groups at different time points, the distance between the tiger mouth and the tiger mouth increased, the active range of motion, the maximum extension angle and the maximum flexion angle increased significantly, and the excellent and good rate of TAM rating increased with the time migration(P <0.05). The incidence of joint stiffness, tendon adhesion and tiger mouth contracture in the brace treatment group was significantly lower than that in the conventional treatment group(P <0.05). Conclusion The application of hand support in patients with retrograde avulsion of hand skin can significantly improve postoperative conditions (scar contracture, tendon adhesion, etc.), thus promoting the recovery of finger function.
Chinese Journal of Aesthetic Medicine
retrograde avulsion injury