Investigating the effects of flexor tendon shortening on active range of motion after finger tendon repair

2021 ◽  
Author(s):  
James A. Tigue ◽  
W. Bradford Rockwell ◽  
K. Bo Foreman ◽  
Stephen A. Mascaro
Keyword(s):  
Range Of Motion ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Active Range Of Motion

Effect of different doses of low-intensity laser therapy on total active range of motion after hand flexor tendon repair

2019 ◽  
Vol 2 (1) ◽  
pp. 29
Author(s):  
FeifyA B. Mahmoud ◽  
WadidaH Abd El-Kader El-Sayed ◽  
AmirA.E Saidi Ahmed ◽  
AmirN W. Mawad ◽  
OsamaF A. Al Balah ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Laser Therapy ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair ◽  
Low Intensity ◽  
Active Range Of Motion ◽  
Low Intensity Laser Therapy ◽  
Intensity Laser ◽  
Different Doses

Clinical Outcomes After Aggressive Active Early Motion and Modified Kleinert Regimens: Comparison of 2 Consecutive Cohorts

Hand ◽  
2021 ◽  
pp. 155894472110172
Author(s):  
Kaisa Jokinen ◽  
Arja Häkkinen ◽  
Toni Luokkala ◽  
Teemu Karjalainen
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Grip Strength ◽  
Clinical Outcomes ◽  
Flexor Tendon ◽  
Hand Grip Strength ◽  
Active Motion ◽  
Hand Grip ◽  
Active Range Of Motion

Background Modern multistrand repairs can withstand forces present in active flexion exercises, and this may improve the outcomes of flexor tendon repairs. We developed a simple home-based exercise regimen with free wrist and intrinsic minus splint aimed at facilitating the gliding of the flexor tendons and compared the outcomes with the modified Kleinert regimen used previously in the same institution. Methods We searched the hospital database to identify flexor tendon repair performed before and after the new regimen was implemented and invited all patients to participate. The primary outcome was total active range of motion, and secondary outcomes were Disabilities of Arm, Shoulder, and Hand; grip strength; globally perceived function; and the quality of life. Results The active range of motion was comparable between the groups (mean difference = 14; 95% confidence interval [CI], −8 to 36; P = .22). Disabilities of Arm, Shoulder, and Hand; grip strength; global perceived function; and health-related quality of life were also comparable between the groups. There was 1 (5.3%) rupture in the modified Kleinert group and 4 (15.4%) in the early active motion group (relative risk = 0.3; 95% CI, 0.04-2.5; P = .3). Conclusions Increasing active gliding with a free wrist and intrinsic minus splint did not improve the clinical outcomes after flexor tendon injury at a mean of 38-month follow-up.

Effects of Increased In Vivo Excursion on Digital Range of Motion and Tendon Strength following Flexor Tendon Repair

2000 ◽  
Vol 82 (3) ◽  
pp. 68
Author(s):  
Matthew J. Silva ◽  
Michael D. Brodt ◽  
Martin I. Boyer ◽  
Timothy S. Morris ◽  
Haralambos Dinopoulos ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair

Effects of Increased In Vivo Excursion on Digital Range of Motion and Tendon Strength following Flexor Tendon Repair

2000 ◽  
Vol 82 (8) ◽  
pp. 56
Author(s):  
Matthew J. Silva ◽  
Michael D. Brodt ◽  
Martin I. Boyer ◽  
Timothy S. Morris ◽  
Haralambos Dinopoulos ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair

Flexor Tendon Repair Using a Stainless Steel Internal Anchor

1998 ◽  
Vol 23 (1) ◽  
pp. 37-40 ◽  
Author(s):  
L. GORDON ◽  
M. TOLAR ◽  
K. T. VENKATESWARA RAO ◽  
R. O. RITCHIE ◽  
S. RABINOWITZ ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Stainless Steel ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Digitorum Profundus ◽  
Flexor Tendon Repair ◽  
Active Flexion ◽  
Active Range Of Motion ◽  
Flexor Digitorum

We have developed a stainless steel internal tendon anchor that is used to strengthen a tendon repair. This study tested its use in vitro to produce a repair that can withstand the tensile strength demands of early active flexion. Fresh human cadaver flexor digitorum profundus tendons were harvested, divided, and then repaired using four different techniques: Kessler, Becker or Savage stitches, or the internal tendon anchor. The internal splint repairs demonstrated a 99–270% increase in mean maximal linear tensile strength and a 49–240% increase in mean ultimate tensile strength over the other repairs. It is hoped that this newly developed internal anchor will provide a repair that will be strong enough to allow immediate active range of motion.

Outcomes of repair of the lacerated A2 pulley with extensor retinaculum during primary flexor tendon repair

2017 ◽  
Vol 42 (9) ◽  
pp. 903-908 ◽  
Author(s):  
A. El-Shebly ◽  
M. El Fahar ◽  
H. Mohammed ◽  
A. Bahaa Eldin
Keyword(s):  
Flexor Tendon ◽  
Tendon Repair ◽  
Extensor Retinaculum ◽  
Flexor Tendon Repair ◽  
Level Of Evidence ◽  
Fair Result ◽  
Active Range Of Motion ◽  
A2 Pulley ◽  
Active Mobilization ◽  
A1 Pulley

We report outcomes of repairing the lacerated A2 pulley with extensor retinaculum graft in ten patients (ten fingers) during primary flexor tendon repair in zone 2. Complete A2 pulley lacerations were found in eight fingers and partial A2 pulley laceration in two. We extended the laceration in the sheath to the middle of the A4 or A1 pulley to allow tendon repair with a four-strand core suture. The A2 pulley was reconstructed with an extensor retinaculum graft. All patients followed the early controlled active mobilization protocol and recovered active range of motion at the interphalangeal joints without major extension deficits. Using the Strickland and Glogovac criteria, there were four excellent, five good and one fair result. One finger was graded excellent, eight good, and one fair according to Tang’s criteria. No clinical bowstringing was observed. We conclude that extensive pulley lacerations reconstructed with extensor retinaculum primarily ensure functional recovery after tendon repair. Level of evidence: IV

MANNOSE-6-PHOSPHATE, AN INHIBITOR OF TRANSFORMING GROWTH FACTOR-?, IMPROVES RANGE OF MOTION AFTER FLEXOR TENDON REPAIR

2006 ◽  
Vol 88 (11) ◽  
pp. 2465-2472
Author(s):  
STEVEN J. BATES ◽  
ELLEN MORROW ◽  
ANDREW Y. ZHANG ◽  
HUNG PHAM ◽  
MICHAEL T. LONGAKER ◽  
...  
Keyword(s):  
Growth Factor ◽  
Range Of Motion ◽  
Transforming Growth Factor ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair ◽  
Mannose 6 Phosphate
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