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Related Experiment Videos

Immediate active short arc motion following extensor tendon repair

R B Evans1

  • 1Indian River Hand Rehabilitation, Vero Beach, Florida, USA.

Hand Clinics
|August 1, 1995
PubMed
Summary

Early motion after extensor tendon repair is safe and effective. Precise force control and therapy improve functional outcomes for extensor tendon injuries.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Rehabilitation Medicine

Background:

  • Postoperative extensor tendon management has evolved from prolonged immobilization to early motion protocols.
  • Current trends favor controlled active and passive motion for improved outcomes.

Purpose of the Study:

  • To evaluate the safety and efficacy of early motion in extensor tendon injury management.
  • To support immediate motion concepts with biochemical and biomechanical evidence.

Main Methods:

  • Review of experimental studies supporting immediate motion.
  • Biomechanical analysis including tendon excursion and force application.
  • Examination of repair tensile strengths and clinical results.

Main Results:

  • Early motion for extensor tendons in specific zones (III-VII, T IV, T V) is demonstrated as safe and effective.
  • Precise force application is critical for successful early motion protocols.

Conclusions:

  • Early motion programs, combined with meticulous therapy and splinting, enhance functional recovery.
  • These advanced protocols improve outcomes for both simple and complex extensor tendon injuries.

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