TY - JOUR
T1 - Rehabilitation Following Zone II Flexor Tendon Repairs
AU - Kannas, Stephanie
AU - Jeardeau, Teresa A.
AU - Bishop, Allen T.
N1 - Publisher Copyright:
Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Ongoing clinical and basic research has improved understanding of flexor tendon mechanics and physiology for surgical repair and rehabilitation after a zone II flexor tendon repair. Yet, the ideal surgical repair technique that includes sufficient strength to allow safe immediate active motion of the finger, without excessive repair stiffness, bulk or rough surfaces resulting in excessive resistance to flexion, does not exist. After optimizing the repair, the surgeon and therapist team must select a rehabilitation plan that protects the repair but helps to maintain tendon gliding. There are 3 types of rehabilitation programs for flexor tendon repairs: delayed mobilization, early passive mobilization, or an early active mobilization. No guideline for rehabilitation should be followed exactly. Many factors influence therapy decisions, including repair technique, associated tendon healing, passive versus active range of motion, edema, and tendon adhesions. These factors can assist in guiding rehabilitation progression and promote functional range of motion, safely mobilize the repaired tendon( s) and prevent gapping, rupture, and adhesions.
AB - Ongoing clinical and basic research has improved understanding of flexor tendon mechanics and physiology for surgical repair and rehabilitation after a zone II flexor tendon repair. Yet, the ideal surgical repair technique that includes sufficient strength to allow safe immediate active motion of the finger, without excessive repair stiffness, bulk or rough surfaces resulting in excessive resistance to flexion, does not exist. After optimizing the repair, the surgeon and therapist team must select a rehabilitation plan that protects the repair but helps to maintain tendon gliding. There are 3 types of rehabilitation programs for flexor tendon repairs: delayed mobilization, early passive mobilization, or an early active mobilization. No guideline for rehabilitation should be followed exactly. Many factors influence therapy decisions, including repair technique, associated tendon healing, passive versus active range of motion, edema, and tendon adhesions. These factors can assist in guiding rehabilitation progression and promote functional range of motion, safely mobilize the repaired tendon( s) and prevent gapping, rupture, and adhesions.
KW - early active motion
KW - early passive motion
KW - flexor tendon
KW - rehabilitation
KW - zone II
UR - http://www.scopus.com/inward/record.url?scp=84944607536&partnerID=8YFLogxK
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U2 - 10.1097/BTH.0000000000000076
DO - 10.1097/BTH.0000000000000076
M3 - Article
C2 - 25700105
AN - SCOPUS:84944607536
SN - 1089-3393
VL - 19
SP - 2
EP - 10
JO - Techniques in Hand and Upper Extremity Surgery
JF - Techniques in Hand and Upper Extremity Surgery
IS - 1
ER -