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Simplified functional splinting after extensor tenorrhaphy

R R Slater1, D K Bynum

  • 1Department of Orthopaedic Surgery, University of California, Davis, Sacramento 95817, USA.

The Journal of Hand Surgery
|May 1, 1997
PubMed
Summary
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Functional splinting for extensor tendon injuries in zones V-VIII (thumb zones TIII-TV) allows early active range of motion (ROM) exercises. This technique leads to excellent outcomes and faster return to daily activities with no tenorrhaphy failures.

Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Reconstructive surgery

Background:

  • Extensor tendon injuries in zones V-VIII require effective management to restore function.
  • Traditional splinting methods can lead to joint stiffness and prolonged recovery.
  • Functional splinting offers a potential alternative for improved outcomes.

Purpose of the Study:

  • To evaluate the efficacy of a custom-molded functional splinting technique for extensor tendon repairs in zones V-VIII.
  • To assess patient outcomes, including range of motion and return to daily activities.

Main Methods:

  • Retrospective review of 22 patients with 61 extensor tendon lacerations (zones V-VIII).
  • Application of custom splints 7 days post-surgery, maintaining wrist extension and MP joint flexion, with free IP joints.

Related Experiment Videos

  • Patients performed active interphalangeal (IP) joint range of motion (ROM) exercises.

    • Main Results:

    • No tenorrhaphy failures reported in any patient.
    • At a mean follow-up of 4.5 months, 86% of patients achieved good or excellent results based on active motion.
    • No residual impairments affecting daily living or employment status were observed.

    Conclusions:

    • Functional splinting is an effective technique for extensor tendon repairs in zones V-VIII.
    • Early active IP joint ROM, facilitated by functional splinting, reduces joint stiffness compared to static splinting.
    • This method provides a less complex and labor-intensive approach than dynamic splinting.