Early controlled active mobilization with dynamic splintage for treatment of extensor tendon injuries

Dynamic splinting following extensor tendon repair gives better results than static splinting, but involves cumbersome splints and recommended protocols are often complicated. We prefer controlled active mobilization of extensor tendon repairs without dynamic splinting. Six weeks after repair, excellent or good function was obtained in 22 out of 24 simple extensor tendon injuries and in 11 out of 13 complex injuries. The results of this prospective study are comparable with those reported after dynamic splinting; this regime does not require outrigger splintage and is simple to follow.

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A Comparison of Dynamic Extension Splinting and Controlled Active Mobilization of Complete Divisions of Extensor Tendons in Zones 5 and 6

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.1999.0356 ◽

2000 ◽

Vol 25 (2) ◽

pp. 140-146 ◽

Cited By ~ 49

Author(s):

A. R. KHANDWALA ◽

J. WEBB ◽

S. B. HARRIS ◽

A. J. FOSTER ◽

D. ELLIOT

Keyword(s):

Randomized Trial ◽

Statistical Difference ◽

Extensor Tendon ◽

Tendon Injuries ◽

Prospective Randomized Trial ◽

Extensor Tendons ◽

Active Mobilization ◽

Extensor Tendon Injuries

We present a prospective randomized trial of two groups of 50 patients each having complete zone 5 and 6 extensor tendon injuries. These were rehabilitated by the use of either a dynamic outrigger splint or a palmar blocking splint. The results were analysed using the Miller and TAM assessments. Good and excellent results were achieved in 95 and 98% of cases following dynamic outrigger mobilization and 93 and 95% of cases using palmar blocking splint mobilization, using the Miller and TAM assessments respectively. There was no statistical difference in the results obtained between the two groups. Therefore, we prefer the latter technique which is simple, cheap, more convenient and requires less therapy time.

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Treatment of extensor tendon injuries of the hand

Plastic & Reconstructive Surgery ◽

10.1097/00006534-197404000-00031 ◽

1974 ◽

Vol 53 (4) ◽

pp. 488

Author(s):

William K. Lindsay

Keyword(s):

Extensor Tendon ◽

Tendon Injuries ◽

Extensor Tendon Injuries

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Dynamic Splinting After Extensor Tendon Repair in Zones V to VII

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(03)00014-7 ◽

2003 ◽

Vol 28 (3) ◽

pp. 224-227 ◽

Cited By ~ 35

Author(s):

S. BRÜNER ◽

M. WITTEMANN ◽

A. JESTER ◽

K. BLUMENTHAL ◽

G. GERMANN

Keyword(s):

Retrospective Study ◽

Surgical Complication ◽

Tendon Repair ◽

Extensor Tendon ◽

Tendon Injuries ◽

Active Motion ◽

Evaluation Systems ◽

Dynamic Splinting ◽

Extensor Tendon Injuries

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.

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