Zone-II Flexor Tendon Repair: A Randomized Prospective Trial of Active Place-and-Hold Therapy Compared with Passive Motion Therapy

A prospective study was performed of 20 consecutive patients with 35 flexor tendon lacerations, in whom post-operative mobilisation was carried out using the Toronto Mobilimb Continuous Passive Motion machine for the first 4½ weeks. Overall the results assessed by Buck Gramcko criteria were 17 (85%) excellent or good, 3 (15%) fair and no poor results. Taking the 17 fingers with zone II lacerations, 14 (82%) were excellent or good, 3 (18%) fair and no poor results.

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Early Results of Flexor Tendon Repair in Zone II With Modified, Four-Strand Strickland Technique

Polish Journal of Surgery ◽

10.2478/v10035-008-0100-8 ◽

2008 ◽

Vol 80 (12) ◽

Author(s):

Ireneusz Walaszek ◽

Andrzej Żyluk ◽

Bernard Piotuch

Keyword(s):

Flexor Tendon ◽

Tendon Repair ◽

Flexor Tendon Repair ◽

Early Results ◽

Zone Ii

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Gap Formation After Flexor Tendon Repair in Zone II

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery ◽

10.1080/02844311.1993.12005639 ◽

1993 ◽

Vol 27 (4) ◽

pp. 263-268 ◽

Cited By ~ 50

Author(s):

Krister L. Silfverskiöld ◽

Esther J. May

Keyword(s):

Flexor Tendon ◽

Tendon Repair ◽

Gap Formation ◽

Flexor Tendon Repair ◽

Zone Ii

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Finger zone II flexor tendon repair in children (5–10 years of age) using three ‘figure of eight’ sutures followed by immediate active mobilization

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193410395837 ◽

2011 ◽

Vol 36 (4) ◽

pp. 291-296 ◽

Cited By ~ 9

Author(s):

Mohammad M. Al-Qattan

Keyword(s):

Flexor Tendon ◽

Tendon Repair ◽

Early Mobilization ◽

Final Outcome ◽

Study Group ◽

Flexor Tendon Repair ◽

Active Mobilization ◽

Zone Ii ◽

Adult Rehabilitation

For children between 5–10 years of age with zone II flexor tendon lacerations, the literature recommends a modified early mobilization programme under the supervision of a hand therapist but the fingers are immobilized between physiotherapy sessions. We report on a series of children between 5–10 years of age with flexor tendon lacerations (n = 54 fingers) in zone II repaired with a six-strand core suture (three separate ‘figure of eight’ sutures) and actively mobilized immediately after surgery similar to adult rehabilitation programmes with no immobilization between the physiotherapy sessions. The average follow-up for the study group was 13 months (range 7–25 months). There were no ruptures. The final outcome was excellent in 46 fingers (85%) and good in the remaining eight fingers (15%) using the Strickland–Glogovac criteria.

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