Functional Outcome of the Hand following Flexor Tendon Repair at the ‘No Man's Land’

Chan, T.L.K.; Ho, CO; Lee, WK; Fung, YK; Law, YF; Tsang, CY

doi:10.1177/230949900601400214

Cited by 28 publications

(22 citation statements)

References 10 publications

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“…22 The recovery rate was reported as 78% in another study in patients with zone II flexor tendon injuries. 23 The only similarity between these studies and our results was the recovery rate of zone II flexor tendon injuries (70.7% in our zone II patients). The correlation between grip strength and Quick Dash scores exhibited in our study underlines the importance of grip strength in the functional evaluation.…”

Section: Discussionsupporting

confidence: 84%

Anatomic and Functional Improvements Achieved by Rehabilitation in Zone II and Zone V Flexor Tendon Injuries

Bal¹,

Oz²,

Gürgan³

et al. 2011

American Journal of Physical Medicine &Amp; Rehabilitation

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Early passive mobilization in patients with zone V injuries resulted in higher percentage of good to excellent results when compared with zone II injuries. However, this does not translate into recovery in grip strength and disability. This study suggests that although the level of the injury is an important factor for the anatomic improvement, it may not be the predictor of functional improvement.

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Section: Discussionsupporting

confidence: 84%

Anatomic and Functional Improvements Achieved by Rehabilitation in Zone II and Zone V Flexor Tendon Injuries

Bal¹,

Oz²,

Gürgan³

et al. 2011

American Journal of Physical Medicine &Amp; Rehabilitation

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“…We found in these studies changing ratios about 67%Á94% have reported grip strength results as being good [12,13,21]. Our hand grip results were better in the Washington group (89%) than in the other group (81%).…”

Section: Discussionmentioning

confidence: 41%

“…TAM is one of the most popular systems of angular measurement [21]. We graded our results using the same criteria as Cetin et al [7], Bainbridge et al [8], and Chan et al [13], so it is possible to compare our results with theirs.…”

Section: Discussionmentioning

confidence: 70%

“…In the study by Schenck and Lenhart results were excellent in 6 patients (36%), good in 2 patients (12%), fair in 4 patients (20%), and poor in 6 patients (32%) after using the Washington regimen [23]. In the study by Peck et al [9] 22 (85%) out of 26 patients had excellent Strickland and Glogovac [13,15] scores in the modified passive group. This result was, however, not significant [9].…”

Section: Discussionmentioning

confidence: 88%

“…The rupture rate has been reported as between 2.4% and 46% in previous studies using the early mobilisation regimen [7Á9, 11,12]. In a prospective study, 26 pairs of subjects with 92 tendon injuries were assessed 12 weeks postoperatively, using the Strickland and Glogovac score [13,15]. The incidence of rupture was significantly less in the modified Kleinert group (8%) than in the controlled active movement group (46%) [9].…”

Section: Discussionmentioning

confidence: 97%

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Comparison of two methods of controlled mobilisation of repaired flexor tendons in zone 2

Kitis¹,

Büker²,

Kara³

2009

Scandinavian Journal of Plastic and Reconstructive Surgery and

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The results after primary repair of zone 2 flexor tendon injuries were evaluated in 263 fingers in 192 patients using two different early-controlled mobilisation programmes. There were 126 men and 66 women (age range 18 to 57 years) divided into two groups. Ninety-eight patients with 137 fingers were treated by early active mobilisation with dynamic splinting method according to a modified Kleinert regimen (Washington regimen), and 94 patients with 126 fingers were managed with a controlled passive movement regimen postoperatively. During this evaluation patients were evaluated for total active movement (TAM), grip strength, and disabilities of arm, shoulder, and hand (DASH) questionnaire. All patients were also reviewed 12 weeks after operation and the results assessed by the Buck-Gramcko-II system. Total active movement was "excellent" in the Washington regimen group (n=119, 87%), while excellent results of the fingers were achieved in the controlled passive movement group (n=94, 75%). The mean grip strength of the injured hand was 89% that of the non-injured side in the Washington regimen group, compared with 81% in the controlled passive movement group. The mean DASH score was 30 and 42 in the two groups, respectively. We think that controlled active mobilisation with dynamic splinting improves the outcome in the upper extremity, including range of movement, grip strength, and functional state of the hand in repairs of the flexor tendons.

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Die frühfunktionelle passive Mobilisation nach Beugesehnenverletzung (Zone 2) an der Hand

Gülke¹,

Mentzel²,

Krischak

et al. 2017

Unfallchirurg

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Functional Outcome of the Hand following Flexor Tendon Repair at the ‘No Man's Land’

Abstract: The surgical method and rehabilitation protocol used for zone-2 flexor tendon injury is safe and results in a reasonably good functional outcome.

Cited by 28 publications

References 10 publications

Anatomic and Functional Improvements Achieved by Rehabilitation in Zone II and Zone V Flexor Tendon Injuries

Anatomic and Functional Improvements Achieved by Rehabilitation in Zone II and Zone V Flexor Tendon Injuries

Comparison of two methods of controlled mobilisation of repaired flexor tendons in zone 2

Die frühfunktionelle passive Mobilisation nach Beugesehnenverletzung (Zone 2) an der Hand

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