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Application of Hand Therapy Extensor Tendon Protocol to Toe Extensor Tendon Rehabilitation
Loretta Coady-Fariborzian1, Bruce Mueller1
1is the Section Chief, Plastic Surgery; and is the Occupational Therapy Supervisor and a Certified Hand Therapist; both at Malcom Randall VA Medical Center in Gainesville, Florida. Loretta Coady-Fariborzian is a Clinical Associate Professor at the University of Florida in Gainesville.
A novel hand extensor tendon repair protocol was successfully adapted for toe extensor injuries. This innovative approach demonstrates effective cross-disciplinary application in reconstructive surgery and therapy.
Area of Science:
- Orthopedic Surgery
- Hand and Foot Therapy
- Reconstructive Procedures
Background:
- Toe extensor lacerations present unique challenges in surgical repair.
- Standard treatment protocols may not always be directly applicable to lower extremity injuries.
Purpose of the Study:
- To evaluate the efficacy of adapting a hand extensor tendon repair protocol for toe extensor injuries.
- To assess the successful application of a cross-disciplinary approach between hand surgery and hand therapy services.
Main Methods:
- A hand extensor tendon repair protocol was utilized for the surgical management of toe extensor lacerations.
- Hand therapy services applied the established protocol to the rehabilitation of toe extensors.
Main Results:
- The hand extensor tendon repair protocol was successfully applied to toe extensor injuries.
- The innovative application facilitated effective repair and rehabilitation of the affected tendons.
Conclusions:
- Adapting established hand tendon repair protocols is a viable and effective strategy for treating toe extensor injuries.
- Interdisciplinary collaboration between surgical and therapy services enhances patient outcomes for complex tendon repairs.

