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

摘要: Early controlled active mobilization with a dynamic splint for treatment of repaired extensor tendon injuries was studied prospectively. Postoperative splintage started on the third postoperative day and involved elastic band extension flexion digits. Mobilization digits within done immediately under supervision. Range motion stepped up progressively stopped after 5 to 6 weeks. Thirty-eight patients 48 were reviewed. The average follow-up 6.7 months (range, 4 10 months). Injuries involving fingers showed an final total 229 degrees 95 270 degrees), whereas thumb 118 78 150 degrees). Lesions distal knuckles (zones II, III, IV) worst results only 188 duration out work 8.5 weeks 25 weeks). There no infection or acute rupture. One patient required reconstruction persistent button-hole deformity; two tenolysis capsulotomy. Of six unsatisfactory poor motion, four had metacarpophalangeal joint, three which crushing injuries.