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
1989 ◽  
Vol 14 (1) ◽  
pp. 18-20 ◽  
Author(s):  
J. A. Chow ◽  
S. Dovelle ◽  
L. J. Thomes ◽  
P. K. Ho ◽  
J. Saldana

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.


2003 ◽  
Vol 28 (3) ◽  
pp. 224-227 ◽  
Author(s):  
S. BRÜNER ◽  
M. WITTEMANN ◽  
A. JESTER ◽  
K. BLUMENTHAL ◽  
G. GERMANN

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.


1998 ◽  
Vol 3 (1) ◽  
pp. 12-13
Author(s):  
Sonia Ranelli

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


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

2012 ◽  
Vol 37 (5) ◽  
pp. 933-937 ◽  
Author(s):  
Valentin Neuhaus ◽  
Grace Wong ◽  
Katherine E. Russo ◽  
Chaitanya S. Mudgal

1997 ◽  
Vol 22 (5) ◽  
pp. 594-596 ◽  
Author(s):  
P. SYLAIDIS ◽  
M. YOUATT ◽  
A. LOGAN

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.


Author(s):  
Rohit Shaju ◽  
Sunil Sharma ◽  
Kshiteej Dhull

Abstract Introduction Pursuit for a new technique, which could be placed on flat extensor tendons and strong enough to withstand the tension forces of early mobilization to prevent stiffness, started few decades ago. We evaluated the new technique of tendon repair using running interlocking horizontal mattress (RIHM) sutures followed by early controlled motion protocol in traumatic extensor tendon injuries and compared it to modified Kessler technique. Materials and Methods We conducted a prospective randomized interventional study of 18 months’ duration, with 30 patients. A total of 103 tendons were repaired, of which 58 were repaired using modified Kessler technique and 45 were repaired using RIHM technique. Postoperatively, patients underwent the early controlled motion protocol and the results were evaluated using the criteria of Miller. Results Majority of the patients had excellent results (53.3%) and 46.67% had good results in the RIHM group while most of the patients in modified Kessler group had only fair results (80%), and only 20% had good results while none had excellent results. Conclusion RIHM suture is an easy-to-learn and effective technique for tendon repair with comparable operative duration and with better overall result than modified Kessler technique.


2018 ◽  
Vol 50 (03) ◽  
pp. 216-218
Author(s):  
George Mouzopoulos ◽  
Christos Vlachos ◽  
Margarita Ampadiotaki ◽  
Anastasia Tsembeli

AbstractDynamic splinting is a well-known method for maintaining finger movement after ruptures of the extensor tendons. We describe a simple, inexpensive and easy-to-construct modification of a dynamic splint, called the “Sparti” splint, suitable for a six-week period of rehabilitation of injured extensor tendons in zones V-VII.


1989 ◽  
Vol 43 (2) ◽  
pp. 115-119 ◽  
Author(s):  
S. Dovelle ◽  
P. K. Heeter ◽  
D. R. Fischer ◽  
J. A. Chow

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