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Early active mobilization after tendon transfers using mesh reinforced suture techniques
1Department of Orthopaedic Surgery, Sahlgren Hospital, University of Gothenburg, Sweden.
Journal of Hand Surgery (Edinburgh, Scotland)
|June 1, 1995
Summary
Early active mobilization after hand tendon transfers, reinforced with polyester mesh sleeves, significantly improved range of motion. This approach offers quicker rehabilitation and better functional outcomes for patients.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Hand Surgery
Background:
- Tendon transfers are crucial for restoring function in the hand and forearm.
- Conventional suture techniques can be reinforced to improve outcomes.
- Early mobilization is often debated due to concerns about graft integrity.
Purpose of the Study:
- To evaluate the efficacy of polyester mesh sleeves in reinforcing hand tendon transfers.
- To assess the functional outcomes and range of motion following early active mobilization.
- To determine the benefits of early mobilization on rehabilitation speed and success.
Main Methods:
- 23 tendon transfers in the hand and forearm were performed.
- Polyester mesh sleeves were used to reinforce conventional suture techniques.
- Early active mobilization (flexion and extension) was initiated within 3 days post-operatively.
Main Results:
- A mean of 69%-78% of final active range of motion was achieved at 1 month post-op.
- Final active range of motion reached 91%-100% of passive range for most transfers.
- Wrist extension transfers achieved 85% of passive range and at least 80% of potential active range.
Conclusions:
- Polyester mesh sleeves provide effective reinforcement for tendon transfers.
- Early active mobilization leads to significant functional recovery and improved results.
- This technique offers advantages in faster, simpler rehabilitation and enhanced patient outcomes.