Journal ArticleDOI
Digital function following flexor tendon repair in Zone II: A comparison of immobilization and controlled passive motion techniques
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TLDR
Early passive motion appeared to be an effective technique to improve the results of flexor tendon repairs in this area, and there was one rupture in the digits managed by early mobilization.Abstract:
The performance of 50 consecutive digits in 37 patients was analyzed following flexor tendon repair in Zone II. Twenty-five digits were managed by 3 1/2 weeks of immobilization followed by a program of gradually increased motion; 25 other digits by intermittent passive motion initiated within the first 5 days with active flexion commenced at 4 1/2 weeks. Results were graded according to the percentage of return of motion at the proximal and distal interphalangeal joints. There were four ruptures in the immobilization group with no excellent results, 12% being rated good, 28% fair, and 11% poor. In the digits managed by early mobilization there were 36% excellent, 20% good, 16% fair, 24% poor; there was one rupture in this group. Early passive motion appeared to be an effective technique to improve the results of flexor tendon repairs in this area.read more
Citations
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Journal ArticleDOI
Biomechanics of tendon injury and repair
TL;DR: The debate between intrinsic and extrinsic healing is examined, and the cellular and extracellular matrix response following a tendon injury is detailed.
Journal ArticleDOI
Effects of early intermittent passive mobilization on healing canine flexor tendons.
Richard H. Gelberman,Richard H. Gelberman,Savio L. C. Woo,Savio L. C. Woo,Kimberly Lothringer,Kimberly Lothringer,Wayne H. Akeson,Wayne H. Akeson,D. Amiel,D. Amiel +9 more
TL;DR: Findings indicate that early protected passive mobilization augments the physiologic processes that determine the strength and excursion of repaired flexor tendons.
Journal ArticleDOI
Development of flexor tendon surgery: twenty-five years of progress.
TL;DR: In the early 1960s, it was universally recommended that tendons divided in the digit (then referred to as “no man's land”) should not be repaired as discussed by the authors.
Journal ArticleDOI
Early Active Mobilisation Following Flexor Tendon Repair in Zone 2
TL;DR: In a prospective study, 114 patients with 138 zone 2 flexor tendon injuries were treated over a three-year period and the active range of motion recovered was graded excellent or good in 77% of digits, fair in 14% and poor in 9%.
Journal ArticleDOI
Report of the Committee on Tendon Injuries
TL;DR: It is suggested that TAM and the Dieter Buck-Gramcko systems be more widely publicized and adopted by various hand surgeons before further discussion.
References
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Journal ArticleDOI
Primary flexor tendon repair followed by immediate controlled mobilization
TL;DR: A study was made of the results of immediate repair and controlled mobilization in 156 severed flexor tendons in 68 patients occuring over an 18-month period, and in one fourth of the cases of severance of both tendons the superficialis was excised, but in all others it was repaired.
Journal ArticleDOI
The rate of healing of tendons: an experimental study of tensile strength
Michael L. Mason,Harvey S. Allen +1 more
Journal ArticleDOI
Primary repair without immobilization of flexor tendon division within the digital sheath. An experimental and clinical study.
Isidor Kessler,Fuad Nissim +1 more
TL;DR: In this article, primary repair without immobilization of Flexor Tendon Division within the Digital Sheath: An Experimental and Clinical Study is presented. But this study was performed in a single patient.
Journal ArticleDOI
Flexor-tendon grafts in the fingers and thumb. A study of factors influencing results in 1000 cases.
Joseph H. Boyes,Herbert H. Stark +1 more
TL;DR: Fingers treated by primary wound closure and insertion of a tendon graft as a secondary procedure had significantly better results than those treated by grafting after an attempted primary tendon repair had failed.
Journal ArticleDOI
Flexor-tendon grafts in the fingers and thumb; an evaluation of end results.
TL;DR: A sutdy of the end results in a series of flexor-tendon grafts in the fingers and thumb, inserted because of damage to the tendons in the "critical" zone, shows that the influencing factors are cicatrix from injury or infection, stiffened joints, trophic changes, and damage to more than one digit.