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Early active mobilization after flexor tendon repairs in zone two.

J Braga-Silva1, C R M Kuyven

  • 1Unit of Hand Surgery and Microsurgery, Pontifical Catholic University of Rio Grande do Sul, PUCRS, Avenida Ipiranga, 6690, conj. 216, Centro Clínico da PUCRS, CEP 90.610-000 Porto Alegre, RS, Brazil. jeffmao@terra.com.br

Chirurgie De La Main
|August 27, 2005
PubMed
Summary

Early active mobilization after zone two flexor tendon repair yields excellent outcomes. This approach, involving immediate flexion and extension, demonstrates positive results for both long fingers and thumbs.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Rehabilitation Medicine

Background:

  • Flexor tendon injuries in zone two require effective postoperative management.
  • Early mobilization is a key component in restoring hand function.

Purpose of the Study:

  • To evaluate an early mobilization regimen for zone two flexor tendon repairs.
  • To assess functional outcomes using standardized evaluation systems.

Main Methods:

  • A cohort of 82 patients with 136 flexor tendon repairs in zone two were included.
  • Postoperative management involved immediate active flexion and extension.
  • Outcomes were assessed using the Strickland and International Federation of Societies for Surgery of the Hand (IFSSH) standards.

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Main Results:

  • Long fingers: Excellent/good results (Strickland: 98.2%, IFSSH: 81.5%).
  • Thumbs: Excellent/good results (Strickland: 96.4%, IFSSH: 82.1%).
  • Both long fingers and thumbs showed high rates of excellent and good outcomes.

Conclusions:

  • Early active mobilization programs are effective after zone two flexor tendon repair.
  • This approach leads to favorable functional recovery for both digits and thumbs.