Document Detail


Gap formation during controlled motion after flexor tendon repair in zone II: a prospective clinical study.
MedLine Citation:
PMID:  1613237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intratendinous metal markers were used to study the formation of gaps in flexor digitorum profundus tendon repairs during and after early controlled motion with dynamic flexion traction and to evaluate their significance for results in 34 digits with repairs in zone II. The mean (+/- SD) final repair elongation was 3.2 (+/- 3.6) mm. Linear regression analysis showed a general trend toward an inverse relationship between elongation and clinical results in terms of active interphalangeal joint range of motion, but the correlation was weak, and in the individual case gap formation was a poor predictor of clinical result. Gaps of up to 10 mm were quite compatible with good function. The results indicate that controlled motion is effective in restricting the formation of adhesions associated with gap formation during postoperative immobilization.
Authors:
K L Silfverskiöld; E J May; A H Törnvall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  17     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-07-30     Completed Date:  1992-07-30     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  539-46     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Sahlgren Hospital, University of Gothenburg, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Finger Joint / physiopathology*,  surgery
Humans
Middle Aged
Motion Therapy, Continuous Passive / methods*
Postoperative Care*
Prospective Studies
Range of Motion, Articular / physiology*
Regression Analysis
Tendon Injuries / physiopathology*,  surgery
Time Factors
Traction

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


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