♦ Injuries common as tendons vulnerable♦ 5 zones described♦ Mallet finger usually treated in splint, but some fractures may require fixation♦ Capener splint for boutonniere deformity, but sometimes surgery necessary♦ Most open tendon injuries need direct repair♦ Rehabilitation needs attention to detail.
This retrospective study evaluates a dynamic active motion protocol for extensor tendon repairs in zones V to VII. Fifty-eight patients with 87 extensor tendon injuries were examined. Using Geldmacher’s and Kleinert and Verdan’s evaluation systems, the results were graded as “excellent” and “good” in more than 94%, and as “satisfactory” in the remainder. The need for secondary tenolysis was low (6%), and no other surgical complication occurred.
Flexor and extensor tendon injuries