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Related Concept Videos

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Immobilization versus Early Active Mobilization after Zone 5-6 extensor tendon repair.

Ümit Varlı1, Kubilay Erol2, Anıl Koca2

  • 1Hand and Microsurgery (EMOT) Plus Hospital, İzmir, Turkey; Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, İzmir Katip Çelebi University, İzmir, Turkey.

Hand Surgery & Rehabilitation
|March 18, 2026
PubMed
Summary

Early active mobilization (EAM) after extensor tendon repair improves range of motion without increasing complications. Return-to-work times and grip strength were similar to traditional immobilization, supporting EAM as a safe rehabilitation option.

Keywords:
Early active mobilizationExtensor tendonImmobilizationRehabilitation

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Rehabilitation medicine

Background:

  • Extensor tendon injuries in the dorsal hand are common due to the tendons' superficial location.
  • Early active mobilization (EAM) is gaining traction, but comparative data against immobilization is limited.

Purpose of the Study:

  • To compare short-term functional outcomes and return-to-work times for EAM versus immobilization after zone 5-6 extensor tendon repairs.

Main Methods:

  • Retrospective cohort study of 26 patients with zone 5-6 extensor tendon injuries.
  • Assessed range of motion (goniometer) and grip strength (dynamometer).
  • Collected data on return-to-work times and physiotherapy sessions; analyzed occupation type and hand dominance.

Main Results:

  • EAM group showed significantly better metacarpophalangeal, distal interphalangeal, and total active motion at discharge (p<0.05) with large effect sizes.
  • No significant differences in grip strength, return-to-work times, or physiotherapy sessions between groups (p>0.05).
  • Occupation and hand dominance did not impact return-to-work outcomes; no tendon ruptures occurred.

Conclusions:

  • EAM enhances short-term range of motion after zone 5-6 extensor tendon repair without increasing complications.
  • Grip strength and return-to-work outcomes are comparable to immobilization.
  • EAM is a safe and effective rehabilitation strategy for these injuries.