Rehabilitation Following Zone II Flexor Tendon Repairs

Stephanie Kannas, Teresa A. Jeardeau, Allen T. Bishop

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2-10
Number of pages9
JournalTechniques in Hand and Upper Extremity Surgery
Volume19
Issue number1
DOIs
StatePublished - Mar 1 2015

Keywords

  • early active motion
  • early passive motion
  • flexor tendon
  • rehabilitation
  • zone II

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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