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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Rehabilitation after tendon injuries in the hand.

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Therapy after Flexor Tendon Repair.

Terri M Skirven1, Lauren M DeTullio1

  • 1Philadelphia Hand to Shoulder Center, Therapy Department, 950 Pulaski Drive, Suite 100, King of Prussia, PA 19406, USA.

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|April 20, 2023
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Summary
This summary is machine-generated.

Rehabilitation after flexor tendon repair requires balancing protection with early motion to prevent adhesions and enhance healing. Effective outcomes depend on understanding tendon healing and close surgeon-therapist communication.

Keywords:
AdhesionsDorsal protective orthosisEarly motionExcursionPassive motionPlace-holdTendon glidingTendon protocol

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Physical therapy

Background:

  • Flexor tendon repair rehabilitation is complex, demanding protection from disruption while enabling controlled motion.
  • Preventing restrictive adhesions is crucial for restoring hand function post-repair.
  • Early, controlled motion is vital for enhancing tendon healing and functional recovery.

Purpose of the Study:

  • To outline the principles of effective rehabilitation following flexor tendon repair.
  • To emphasize the importance of balancing protection and motion in tendon healing.
  • To highlight the necessity of interdisciplinary communication for optimal patient outcomes.

Main Methods:

  • Review of current literature on flexor tendon healing and rehabilitation protocols.
  • Analysis of factors influencing tendon healing and adhesion formation.
  • Emphasis on the role of controlled active and passive motion exercises.

Main Results:

  • Early controlled motion, when appropriately timed with healing phases, improves tendon gliding and reduces adhesions.
  • Understanding the biological phases of tendon healing guides the progression of rehabilitation.
  • Strong surgeon-therapist collaboration is critical for tailoring treatment plans.

Conclusions:

  • Successful flexor tendon repair rehabilitation hinges on a nuanced approach to motion and protection.
  • Adherence to evidence-based protocols and interprofessional communication maximizes functional recovery.
  • Optimizing rehabilitation preserves hand function after flexor tendon injuries.