Dynamic Splinting With Early Motion Following Zone IV/V and TI to TIII Extensor Tendon Repairs

2012 ◽  
Vol 37 (5) ◽  
pp. 933-937 ◽  
Author(s):  
Valentin Neuhaus ◽  
Grace Wong ◽  
Katherine E. Russo ◽  
Chaitanya S. Mudgal
Keyword(s):  
Extensor Tendon ◽  
Early Motion ◽  
Dynamic Splinting

Dynamic Splinting After Extensor Tendon Repair in Zones V to VII

2003 ◽  
Vol 28 (3) ◽  
pp. 224-227 ◽  
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.

Controlled Active Extension Programme in Association with Dynamic Splinting for Extensor Tendon Reconstruction Zones III–VIII

1998 ◽  
Vol 3 (1) ◽  
pp. 12-13
Author(s):  
Sonia Ranelli
Keyword(s):  
Extensor Tendon ◽  
Tendon Reconstruction ◽  
Right Hand ◽  
Dynamic Splinting ◽  
The Right

This case study outlines the surgical and physiotherapy management of a delayed extensor tendon reconstruction of the right hand in zones III–VIII

scholarly journals Outcome of Early Motion Protocol for Total Hand Replantation: 1- and 2-Year Postoperative Results

2019 ◽  
Vol 12 (S 01) ◽  
pp. S70-S74
Author(s):  
Lucas M. Harrison ◽  
Spencer R. Anderson ◽  
Sunishka M. Wimalawansa
Keyword(s):  
External Fixation ◽  
Extensor Tendon ◽  
Metacarpophalangeal Joint ◽  
Postoperative Management ◽  
Active Motion ◽  
Early Motion ◽  
Right Hand ◽  
Rehabilitation Protocols ◽  
Hand Amputation ◽  
Hand Replantation

Abstract Introduction We review the benefits of early motion protocols following replantation of a total right hand amputation at 1 and 2 years after replantation, and provide recommendations for postoperative management. Materials and Methods Replantation of the entire right hand in zone-4 was performed and supported by rigid external fixation spanning the forearm and hand. An early active “place-and-hold” motion protocol was initiated within the first 3 postoperative days. Metacarpophalangeal joint extensors were tethered by the pins, limiting full excursion. This resulted in stiffness and extensor adhesions that required a staged extensor tenolysis; however, all joints remained supple. The early motion protocol prevented the need for significant flexor tenolysis and joint releases. Results Early motion rehabilitation protocols can produce very successful results in complex replantation. The enhanced stability afforded by external fixation of the wrist allowed us to perform aggressive early rehabilitation. Conclusion This case highlights the benefits of early active motion (limiting the need for complex joint and flexor tendon releases) and demonstrates the degree of extensor adhesions caused by even minor extensor tendon tethering. This aggressive rehabilitation approach can produce excellent range of motion, and likely limit the need for secondary tenolysis and joint release procedures.

Comparison of static and dynamic splinting regimens for extensor tendon repairs in zones V to VII

2012 ◽  
Vol 46 (3-4) ◽  
pp. 267-271 ◽  
Author(s):  
Ali Kitis ◽  
Ramazan Hakan Ozcan ◽  
Dilek Bagdatli ◽  
Nihal Buker ◽  
Inci Gokalan Kara
Keyword(s):  
Extensor Tendon ◽  
Dynamic Splinting

A Comparison of Results of Extensor Tendon Repair Followed by Early Controlled Mobilisation Versus Static Immobilisation

1989 ◽  
Vol 14 (1) ◽  
pp. 18-20 ◽  
Author(s):  
J. A. Chow ◽  
S. Dovelle ◽  
L. J. Thomes ◽  
P. K. Ho ◽  
J. Saldana
Keyword(s):  
Tendon Repair ◽  
Extensor Tendon ◽  
Functional Results ◽  
Consecutive Series ◽  
Extensor Tendons ◽  
Dynamic Splinting ◽  
Tendon Surgery ◽  
Tendon Ruptures ◽  
Controlled Motion ◽  
Extensor Lag

To compare the functional results of early controlled mobilisation and static immobilisation following repair of extensor tendons, we conducted a comparative study between two centres. In one, a consecutive series of tenorrhaphy patients was treated post-operatively by the dynamic splinting technique. In the other, a consecutive group was treated by static splinting. All patients treated by dynamic splinting were graded excellent within six weeks following surgery; no tendon ruptures occurred and no secondary corrective tendon surgery was required. After static splinting, 40% were graded excellent, 31% good, 29% fair, and none poor; six fingers treated by static splintage subsequently required tenolysis. Following surgical repair of extensor tendons of the hand, patients treated by early controlled motion regain better flexion function in terms of grip strength and pulp-to-palm distance. Dynamic splinting is a more effective technique than static splinting in the prevention of extensor lag.

Early Controlled Motion with Dynamic Splinting versus Static Splinting for Zones III and IV Extensor Tendon Lacerations

1994 ◽  
Vol 7 (4) ◽  
pp. 232-236 ◽  
Author(s):  
Mark T. Walsh ◽  
William Rinehimer ◽  
Elaine Muntzer ◽  
Jay Patel ◽  
Michael R. Sitler
Keyword(s):  
Extensor Tendon ◽  
Dynamic Splinting ◽  
Controlled Motion

EARLY MOTION AFTER EXTENSOR TENDON SURGERY

Hand Clinics ◽  
1996 ◽  
Vol 12 (1) ◽  
pp. 57-64
Author(s):  
Carla A. Crosby ◽  
Marwan A. Wehbe
Keyword(s):  
Extensor Tendon ◽  
Early Motion ◽  
Tendon Surgery

Early Active Mobilization for Extensor Tendon Injuries

1997 ◽  
Vol 22 (5) ◽  
pp. 594-596 ◽  
Author(s):  
P. SYLAIDIS ◽  
M. YOUATT ◽  
A. LOGAN
Keyword(s):  
Prospective Study ◽  
Tendon Repair ◽  
Extensor Tendon ◽  
Tendon Injuries ◽  
Good Function ◽  
Dynamic Splinting ◽  
Active Mobilization ◽  
Extensor Tendon Injuries ◽  
Complex 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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