Synergistic wrist dynamic splint for flexor tendon repair

Pei Hsi Chou, You Li Chou, Kai Nan An, Gau Tyan Lin, Fong Chin Su, Ching Shoung Yang, Gwo Feng Huang

Research output: Contribution to journalArticle

Abstract

Tendons are frequently injured by direct trauma. Tendon adhesions were a common sequel of tendon repair and are one of the most challenging problems in hand surgery. The concept of "controlled motion " gradually replaced "total immobilization " in the treatment of flexor tendon injuries and today represents a standard of care for all primary repaired flexor tendon injury. Use of controlled motion splints during the early stages of stages of tendon recovery in crease tendon gliding. However, how best to achieve passive motion and the effect of passive motion on tendon gliding have remained controversial subjects. Based on a series of recent experiments, the concept of "dynamic synergistic wrist motion splint " was established and evaluated. It was found that this synergistic wrist motion increases the tendon excursion due to eliminating the laxity and buckling of tendon in the regions between pulleys without introduce excessive amount of tension. The purpose of this study is to design and fabricate a dynamic splint based on this concept and define the nature coordinated motion between the wrist and finger joints due to the passive tension of the muscles in vivo. Parametric analysis will be conducted to achieve an optimum design with the consideration of anatomic constraints. Clinical trial of using such dynamic splint will be evaluated in the future.

Original languageEnglish (US)
Pages (from-to)231-241
Number of pages11
JournalBiomedical Engineering - Applications, Basis and Communications
Volume13
Issue number5
DOIs
StatePublished - Nov 25 2001

Keywords

  • Dynamic splint
  • Flexor Tendon Repair
  • Optimum design
  • Synergistic wrist motion

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering
  • Biomedical Engineering

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  • Cite this

    Chou, P. H., Chou, Y. L., An, K. N., Lin, G. T., Su, F. C., Yang, C. S., & Huang, G. F. (2001). Synergistic wrist dynamic splint for flexor tendon repair. Biomedical Engineering - Applications, Basis and Communications, 13(5), 231-241. https://doi.org/10.4015/S1016237201000297