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

Rehabilitation Techniques for Applying Immediate Active Tension to the Repaired Extensor System

“…Unlike early motion programs for flexor tendons, the risk of rupture or associated complications in my experience is low if guidelines for exercise position, force application, and splint geometry are followed. The results reported in the present paper (15)(16)(17)(18)(19)(20)(21)(22)(23) and those reported by others (2,10,11,33,47,50,55,59) demonstrate that early controlled motion for extensor tendon injuries in zones III-VII, TIV, and TV is safe and effective if force application and splint positions are precise. Early referral to therapy, meticulous care in the control of edema, patient education, precise positions of postoperative splinting, and controlled motion programs combining both passive and active tension will greatly improve the results of both complex and simple extensor tendon injury, not only in…”

“…The concept of passive motion and immediate active short arc motion for the repaired central slip (17,21,33,47,50,55,59) has been introduced in this decade as has the concept of the application of immediate active tension following extensor repair (1 9,22,23). The rationale for these early motion programs is that some stress at a tendon repair site is beneficial both biochemically and biomechanically to the repaired tendon and that some degree of controlled motion will reduce complications associated with immobilization by maintaining homeostasis in the adjacent connective tissues (1,3-5,24,26-28,30,43,49,5 1,60-63).…”

Early Active Short Arc Motion Following Central Slip Repair

“…[2][3][4] It could be argued that the woman in the clinical case example with a sharp injury to the tendon and joint capsule alone would be expected to have a favorable outcome.…”

Evaluation of extensor tendon repair of hand

“…Hence it is concluded that controlled early active mobilization gives better results than static splinting and it's comparable to dynamic splinting protocol. Hung LK et al [17] concluded that injuries distal to knuckles (zones II, III, IV) showed worst results with an average total active motion of only 188 degrees (range, 95 to 270 degrees). Our study also reveals that all the patients with zone VIII and IX achieved excellent results while lesions involving digits had variable results.…”