| Dynamic Splinting With Early Motion Following Zone IV/V and TI to TIII Extensor Tendon Repairs. | |
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MedLine Citation:
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PMID: 22463924 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: To investigate the influence of a dynamic splinting protocol on outcomes of extensor tendon repairs. METHODS: All patients in a prospectively collected database underwent extensor tendon repair by a single surgeon between 2004 and 2008. The inclusion criterion was simple extensor tendon repairs in zone IV and V in the fingers and zones TI to TIII in the thumb. The tendon repairs used a 4-strand core technique and running epitendinous suture. Within 7 days, each subject began using a dynamic extension splint during the day and a static extension splint at night. The extension splint allowed the patient to passively extend and actively flex the digits. After 3 weeks, the dynamic splint was discontinued and the patients were started on active digital motion. Static night splinting was continued for the next 3 weeks, after which time splinting was discontinued and strengthening was instituted. A total of 17 patients with 19 tendon lacerations met the inclusion criterion. There were 5 patients with lacerations of the thumb extensors and 12 patients with zone IV/V finger extensor tendon lacerations. The average time from injury to surgery was 11 days (range, 2-39 d). The follow-up was 43 to 215 days, with an average of 96 days. RESULTS: A total of 16 patients achieved good or excellent results by 6 weeks according to our grading system. One patient had a fair result. There were no ruptures and no tenolysis surgeries performed. CONCLUSIONS: Dynamic splinting resulted in generally good functional outcomes for extensor tendon laceration repairs in zone IV/V and TI to TIII, without complications. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV. |
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Authors:
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Valentin Neuhaus; Grace Wong; Katherine E Russo; Chaitanya S Mudgal |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-3-29 |
Journal Detail:
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Title: The Journal of hand surgery Volume: - ISSN: 1531-6564 ISO Abbreviation: - Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-4-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7609631 Medline TA: J Hand Surg Am Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Orthopaedic Hand Service, Massachusetts General Hospital, Boston, MA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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