Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Early protected motion after extensor tendon repair.

C A Crosby1, M A Wehbé

  • 1Pennsylvania Hand Center, Bryn Mawr 19010, USA.

The Journal of Hand Surgery
|October 6, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Things we say!

Orthopedics·2014
Same author

The prospective, randomized, double-blind clinical trial in orthopaedic surgery.

The Journal of bone and joint surgery. American volume·1998
Same author

Early motion after hand and wrist reconstruction.

Hand clinics·1996
Same author

Early motion protocols in hand and wrist rehabilitation.

Hand clinics·1996
Same author

Early motion after extensor tendon surgery.

Hand clinics·1996
Same author

Early motion after wrist surgery.

Hand clinics·1996
Same journal

The Diagnosis and Management of Clenched Fist Syndrome.

The Journal of hand surgery·2026
Same journal

Ultrasound-Assisted Thin Posteromedial Thigh Free Flap for Coverage of Hand and Upper-Extremity Wounds.

The Journal of hand surgery·2026
Same journal

Comparison of One- and Two-knot Techniques in Eight-Strand Flexor Tendon Repair Using Looped Sutures: A Biomechanical Study in a Porcine Model.

The Journal of hand surgery·2026
Same journal

Biomechanical Comparison of Metal Versus Suture and Screw Tension Band Technique for Olecranon Fractures.

The Journal of hand surgery·2026
Same journal

Incidence, Timing, and Predictors of Staged Contralateral Carpal Tunnel Release at Minimum Ten-Year Follow-Up from Unilateral Surgery.

The Journal of hand surgery·2026
Same journal

Upper Limb Reconstruction in Arthrogryposis Multiplex Congenita: A Systematic Review.

The Journal of hand surgery·2026
See all related articles

Early motion with dynamic splinting and tendon mobilization significantly improves outcomes for extensor tendon repairs. This combined approach enhances range of motion and strength, leading to faster return to activity after hand injuries.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Rehabilitation Medicine

Background:

  • Extensor tendon injuries in the hand require effective treatment to restore function.
  • Traditional treatments may have limitations in achieving optimal range of motion and strength.
  • Immediate post-operative mobilization is a key consideration in tendon repair protocols.

Purpose of the Study:

  • To evaluate the efficacy of immediate motion combined with dynamic splinting and a tendon mobilization program for extensor tendon lacerations.
  • To compare the outcomes of this comprehensive rehabilitation approach with previously published data.
  • To assess the recovery of range of motion, strength, and return to activity following surgical repair.

Main Methods:

  • Surgical repair of 50 extensor tendon lacerations in 30 hands (excluding mallet finger injuries).

Related Experiment Videos

  • Implementation of a post-operative rehabilitation program featuring dynamic splinting and immediate tendon mobilization.
  • Average follow-up of 7 months, with assessment of range of motion, strength, and functional recovery.

    • Main Results:

    • 45 out of 50 repaired tendons regained full range of motion (average 262 degrees) within 9 weeks.
    • The remaining 5 tendons showed minimal extension lags (≤10 degrees).
    • Patients achieved at least 93% of predicted normal strength within 9-12 weeks and returned to prior activity levels in an average of 10 weeks.

    Conclusions:

    • The combination of dynamic splinting and a tendon mobilization program represents an advancement in the treatment of extensor tendon repairs.
    • This integrated approach leads to superior functional recovery, including improved range of motion and strength.
    • The findings suggest that early, active rehabilitation is crucial for optimizing outcomes in hand extensor tendon injuries.