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

2000 ◽  
Vol 25 (2) ◽  
pp. 140-146 ◽  
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.

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

1990 ◽  
Vol 15 (2) ◽  
pp. 251-257 ◽  
Author(s):  
L.K. Hung ◽  
A. Chan ◽  
J. Chang ◽  
A. Tsang ◽  
P.C. Leung
Keyword(s):  
Extensor Tendon ◽  
Tendon Injuries ◽  
Active Mobilization ◽  
Extensor Tendon Injuries

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.

The Effect of early active Movement following Repair of Extensor Tendons in Zone IV using three different suture Techniques – A cadaveric Study

2021 ◽  
Vol 53 (05) ◽  
pp. 475-481
Author(s):  
Samir Ilgaroglu Zeynalov ◽  
Abdulveli Ismailoglu ◽  
Ural Verimli ◽  
Anar Alakbarov ◽  
Eren Cansü
Keyword(s):  
Extensor Tendon ◽  
Suture Technique ◽  
Tendon Injuries ◽  
Suture Techniques ◽  
Active Movement ◽  
Gap Formation ◽  
Extensor Tendons ◽  
Extensor Tendon Injuries ◽  
Hand Scale ◽  
Flexion And Extension

Abstract Purpose The aim of this study was to investigate the effects of early active movement on the area repaired with three different suture techniques used in extensor tendon injuries in zone IV. Materials and Methods A total of nine cadaver’s 35 extensor tendons from 9 intact upper extremities were used in this study. The proximal and distal borders of the extensor tendons in zone IV were marked. The distance between the proximal and distal border was measured with a 0.5 mm precision tape measure and the mid-point was marked. Intertendinous connections were dissected and loop sutures were prepared for each extensor digitorum. Afterwards, force was applied to each digit along the tendon axis from the loops inserted into the extensor tendons, to measure the extensor forces required to extend the MCP joints to 0˚ with a hand scale. The flexor tendons of the digits were dissected at zone III, and loop sutures were prepared individually for the tendons to enable independent flexion for each digit. The force required to fully flex the digits was measured with a hand scale. The extensor tendons were incised transversely and repaired at the mid-point in zone IV with three different suture techniques (double Kessler, double figure of eight, running interlocking horizontal mattress (RIHM)). The extenxor tendon lengths in zone IV were re-measured for all digits after suturing. The predetermined forces required for full flexion and extension of the digits were applied to the repaired digits. After force was applied 20 times to each tendon, the gap formation was checked. Totally 200 flexion and 200 extension movements were applied to each finger with the help of a hand-held scale. Formation of 2-mm gap was failure criteria. At the end of the movements the extent of the gaps was recorded. In the absence of insufficiency at the repair site, 50 additional flexion and extension movements with double the previously recorded forces were applied to the tendons. Results There was a significant shortening of the extensor tendons after repair independent from the used suture technique. No significant gap formation was detected in all three suture techniques. Conclusion All three suturing techniques are reliable for early active movements following the zone IV extensor tendon repairs. Therefore, surgeons can choose one of those three suture techniques to repair extensor tendon injuries in zone IV.

Extensor Tendon Repair

2019 ◽  
pp. 931-938
Author(s):  
Scott D. Oates
Keyword(s):  
Blunt Trauma ◽  
Functional Impairment ◽  
Tendon Repair ◽  
Extensor Tendon ◽  
Tendon Injuries ◽  
Treatment Modalities ◽  
Dorsal Skin ◽  
Extensor Tendons ◽  
Extensor Tendon Injuries

Because of their location on the dorsum of the hand, the extensor tendons are particularly vulnerable to injury. This is even more likely over the joints since the dorsal skin is particularly thin there. Injuries can occur from both sharp and blunt trauma. Untreated extensor tendon injuries can result in significant functional impairment and potential long-term permanent deformities of the hand. There are significant differences in treatment for extensor tendon injuries involving the finger zones versus the hand. This chapter will describe the most common treatment modalities for extensor tendon injuries to the hand and forearm.

The “Sparti” splint for rehabilitation of extensor tendon injuries in zones V-VII

2018 ◽  
Vol 50 (03) ◽  
pp. 216-218
Author(s):  
George Mouzopoulos ◽  
Christos Vlachos ◽  
Margarita Ampadiotaki ◽  
Anastasia Tsembeli
Keyword(s):  
Extensor Tendon ◽  
Tendon Injuries ◽  
Finger Movement ◽  
Extensor Tendons ◽  
Dynamic Splinting ◽  
Dynamic Splint ◽  
Extensor Tendon Injuries

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.

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.

Four-strand repair techniques in acute extensor tendon injuries of adult hands

2019 ◽  
Vol 47 (4) ◽  
pp. 151
Author(s):  
AmrA.A Abdella ◽  
MohamedA Quolquela ◽  
ElsayedM Elfors ◽  
MohamedS Saeid
Keyword(s):  
Extensor Tendon ◽  
Tendon Injuries ◽  
Extensor Tendon Injuries ◽  
Repair Techniques
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