CLINICAL RESULTS OF EARLY ACTIVE MOBILISATION AFTER FLEXOR TENDON REPAIR

C. H. Yen et al, Hand Surg. 13, 45 (2008). DOI: 10.1142/S0218810408003761

C. H. Yen

• Correspondence to: Dr. Chi Hung Yen, Department of Orthopaedics and Traumatology, Kwong Wah Hospital, 25 Waterloo Road, Yau Ma Tei, Hong Kong Special Administrative Region. Tel:(+852) 2332-2311, Fax: (+852) 3517-8204.

• Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong SAR

W. L. Chan

• Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong SAR

J. W. C. Wong

• Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong SAR

K. H. Mak

• Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong SAR

Received: 7 November 2007

Accepted: 28 February 2008

Between 2005 and 2006, ten patients with flexor digitorum profundus zone II injuries were included. The mean age was 41 (19–84) years. One thumb, two index, four middle, one ring and two little fingers were injured. Repair method comprised four-strand core suture and 6-0 circumferential sutures. Post-operative rehabilitation included immediate active extension, progressive passive full flexion and active hold in dorsal block splint. Follow-up was four (three to seven) months. Grip strength, pinch strength, ROM was 90% (70%–90%), 90% (60%–110%) and 90% (80%–100%) of normal digit, respectively. Mayo wrist scores were five excellent, two good and three fair. All patients were satisfied. Compared with another group of ten patients with the same suture method and Kleinert splintage, grip strength, pinch strength and ROM were 50%, 40% and 40% of normal side, respectively. All differences between these two groups were statistically significant (p < 0.01) by paired samples T-test. There was no re-rupture.

Keywords: Flexor Tendon; Repair; Mobilisation

Cited by (5):

Simon Farnebo, James Chang. (2013) Practical Management of Tendon Disorders in the Hand. Plastic and Reconstructive Surgery 132, 841e-853e. Online publication date: 1-Nov-2013. [CrossRef]

Harlan M. Starr, Mark Snoddy, Kyle E. Hammond, John G. Seiler. (2013) Flexor Tendon Repair Rehabilitation Protocols: A Systematic Review. The Journal of Hand Surgery 38, 1712-1717.e14. Online publication date: 1-Sep-2013. [CrossRef]

Jose L. Mendez-Angulo, Anna M. Firshman, Donna M. Groschen, Philip J. Kieffer, Troy N. Trumble. (2013) Effect of water depth on amount of flexion and extension of joints of the distal aspects of the limbs in healthy horses walking on an underwater treadmill. American Journal of Veterinary Research 74, 557-566. Online publication date: 1-Apr-2013. [CrossRef]

S. Brent Brotzman. 2011. Hand and Wrist Injuries. Clinical Orthopaedic Rehabilitation, 1-54. [CrossRef]

Joy C. MacDermid, Ruby Grewal, B. Jane Freure. 2011. Finger and thumb pathology. Neck and Arm Pain Syndromes, 392-403. [CrossRef]

資料來源 : http://www.worldscientific.com/doi/abs/10.1142/S0218810408003761