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Related Experiment Videos

Long term hand function without long finger extensors: a clinical study.

A A Quaba1, D Elliot, B C Sommerlad

  • 1North-East Thames Regional Centre for Plastic Surgery, Billericay, Essex.

Journal of Hand Surgery (Edinburgh, Scotland)
|February 1, 1988
PubMed
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Severe hand injuries may not require long extensor tendon reconstruction. Focusing on skin coverage and early mobilization can be sufficient for many patients, improving long-term hand function.

Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Reconstructive surgery

Background:

  • Severe injuries to the dorsum of the hand often involve extensor tendon damage.
  • Traditional management includes surgical reconstruction of damaged tendons.

Purpose of the Study:

  • To evaluate the necessity of long extensor tendon reconstruction in severe hand injuries.
  • To assess long-term hand function after conservative management focusing on skin cover and early mobilization.

Main Methods:

  • Study included nine patients with severe dorsum of hand injuries.
  • Patients underwent operations for skin cover only.
  • Long-term hand function was assessed using objective tests and a detailed questionnaire.

Main Results:

Related Experiment Videos

  • Objective tests and patient questionnaires indicated satisfactory long-term hand function.
  • The absence of tendon reconstruction did not preclude functional recovery in this cohort.

Conclusions:

  • Skin cover followed by intensive early mobilization may be adequate management for severe hand injuries.
  • Tendon reconstruction may not be necessary for all patients with these injuries.