Document Detail


Complex extensor tendon injuries: early active motion following single-stage reconstruction.
MedLine Citation:
PMID:  18694916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study presents a retrospective evaluation of patients managed with single-stage repair following complex extensor tendon injuries. Over a 2-year period, 21 extensor tendons were reconstructed in 18 patients with complex hand injuries in zones V-VII. All eight patients needed soft tissue cover. Active mobilisation was started in the first week. Total active motion (TAM) at 4 weeks was a mean of 159 degrees (SD 21.57) and at 6 weeks it was 202.6 degrees (SD 13.26). Average TAM at 8 weeks was 223.8 degrees (SD 16.46) and 249.5 degrees (SD 14.38) at 12 weeks. Grip strength at 12 weeks and 6 months was around 75% and 90% of the contralateral normal hand in most of the patients. Single-stage reconstruction of complex extensor tendon injuries seems to reduce morbidity in terms of hospitalisation, and reduced cost of treatment. It also helps to achieve better functional outcome in the early postoperative period.
Authors:
A R Koul; R K Patil; V Philip
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Publication Detail:
Type:  Journal Article     Date:  2008-08-11
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  33     ISSN:  1753-1934     ISO Abbreviation:  -     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-08     Completed Date:  2009-03-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  753-9     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Medical Trust Hospital, Cochin, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Female
Hand Injuries / physiopathology*,  surgery*
Humans
Male
Microsurgery
Range of Motion, Articular / physiology
Reconstructive Surgical Procedures
Retrospective Studies
Surgical Flaps
Tendon Injuries / physiopathology*,  surgery*
Tendons / physiopathology*
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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