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[Rehabilitation after flexor tendon surgery]
P Hahn1, C Jacobs, A Müller-Zimmermann
1Klinik für Handchirurgie, Bad Neustadt/Saale. hahn@vulpiusklinik.de
Der Orthopade
|May 14, 2003
Summary
Innovations in zone 2 flexor tendon repair allow immediate active flexion, moving beyond traditional passive flexion methods. This review covers current repair, reconstruction, and rehabilitation strategies for flexor tendon injuries.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Repair
Context:
- Zone 2 flexor tendon injuries present significant challenges in hand function.
- Over the past two decades, substantial advancements have been made in surgical repair and patient aftercare.
- Understanding the biomechanics of tendon healing has driven the development of new treatment paradigms.
Purpose:
- To comprehensively review current concepts in the surgical repair and reconstruction of zone 2 flexor tendons and pulleys.
- To discuss contemporary rehabilitation protocols following flexor tendon surgery, including tenolysis.
Summary:
- The standard of care for flexor tendon injuries, such as the Kleinert protocol (active extension, passive flexion), is being challenged by new techniques.
- Advances in suture technology now permit immediate active flexion, a significant departure from previous protocols.
- The review encompasses tendon and pulley repair, reconstruction methods, and post-operative rehabilitation strategies.
Impact:
- These advancements offer improved functional outcomes for patients with zone 2 flexor tendon injuries.
- The shift towards earlier active motion may reduce the incidence of complications like adhesions and stiffness.
- This review provides a valuable resource for surgeons and therapists managing these complex injuries.