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Related Experiment Videos

Continuous passive motion following flexor tendon repair.

T D Bunker1, B Potter, N J Barton

  • 1University Hospital, Nottingham.

Journal of Hand Surgery (Edinburgh, Scotland)
|November 1, 1989
PubMed
Summary

Continuous passive motion using the Toronto Mobilimb machine improved flexor tendon repair outcomes. 85% of patients achieved excellent or good results, particularly those with zone II lacerations.

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Rehabilitation medicine

Background:

  • Flexor tendon lacerations require precise surgical repair and effective post-operative rehabilitation.
  • Early controlled mobilization is crucial for optimal healing and functional recovery in flexor tendon injuries.

Purpose of the Study:

  • To evaluate the efficacy of continuous passive motion (CPM) using the Toronto Mobilimb machine in the early post-operative period for flexor tendon lacerations.
  • To assess functional outcomes based on the Buck Gramcko criteria.

Main Methods:

  • A prospective study involving 20 patients with 35 flexor tendon lacerations.
  • Post-operative mobilization was performed using the Toronto Mobilimb CPM machine for the initial 4.5 weeks.

Main Results:

  • Overall, 85% of patients achieved excellent or good results (17/20).
  • 3 patients (15%) had fair results, with no poor outcomes.
  • For zone II lacerations specifically (17 fingers), 82% (14/17) showed excellent or good results, and 18% (3/17) had fair results.

Conclusions:

  • Early post-operative mobilization with the Toronto Mobilimb CPM machine yields high rates of excellent or good functional outcomes for flexor tendon repairs.
  • The use of CPM is a valuable adjunct in the rehabilitation of zone II flexor tendon injuries, promoting favorable results.

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