Influences of the Protected Passive Mobilization Interval on Flexor Tendon Healing

Gelberman, Richard H.; Nunley, James A.; Osterman, A. Lee; Breen, Thomas F.; Dimick, Mary P.; Woo, Seong-Hwan

doi:10.1097/00003086-199103000-00021

Cited by 82 publications

(28 citation statements)

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“…Ferretti et al [17] demonstrated that the application of continuous passive mobilization in a rabbit joint arthrosis model has powerful anti-inflammatory effects, mediated by IL-10 production and the suppression of GAGs degradation. This results in an efficient qualitative and quantitative reorganization of the collagen tissue [18], as well as increased tendon vascularization [19] and metabolic activity of the tenocytes [20,21].…”

Section: Discussionmentioning

confidence: 99%

Effects of one-month continuous passive motion after arthroscopic rotator cuff repair: results at 1-year follow-up of a prospective randomized study

et al. 2010

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The study included 100 patients who underwent an arthroscopic rotator cuff repair. All patients suffered about a rotator cuff tear that was repaired arthroscopically with a suture anchor technique. Immediately postoperatively, patients were randomly allocated to one of two different postoperative physiotherapy regimens: passive self-assisted range of motion exercise (controls: 46 patients) versus passive self-assisted range of motion exercise associated with use of continuous passive motion (CPM) for a total of 2 h per day (experimental group: 54 patients), for 4 weeks. After this time, all the patients of both groups underwent the same physical therapy protocol. An independent examiner assessed the patients at 2.5, 6 and 12 months particularly about pain with the VAS scale (0-10) and the range of motion (ROM). Our findings show that postoperative treatment of an arthroscopic rotator cuff repair with passive self-assisted exercises associated with 2-h CPM a day provides a significant advantage in terms of ROM improvement and pain relief when compared to passive self-assisted exercise alone, at the short-term follow-up. No significant differences between the two groups were observed at 1 year postoperatively.

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Section: Discussionmentioning

confidence: 99%

Effects of one-month continuous passive motion after arthroscopic rotator cuff repair: results at 1-year follow-up of a prospective randomized study

et al. 2010

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“…10 We appraised each study and calculated a total MINORS score from a maximum of 16 for noncomparative studies and 24 for comparative studies. Of the studies included, only 2 11,12 were prospective randomized controlled trials. We eval- uated these studies using the Detsky quality score, which is a validated tool to assess the quality of randomized controlled trials.…”

Section: Quality Assessment Of Included Studiesmentioning

confidence: 99%

“…11 Of the observational studies, 27 were low quality, whereas 8 were high quality according to the MINORS score (Appendix A, available on the Journal's Web site at www.jhandsurg.org). There was no significant difference in the proportion of high-quality papers before and after the publication date of January 1, 2000.…”

Section: Quality Assessmentmentioning

confidence: 99%

Complications After Flexor Tendon Repair: A Systematic Review and Meta-Analysis

Hernandez-Soria

et al. 2012

The Journal of Hand Surgery

209

130

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“…It is generally acknowledged that mobilization early after tendon repair can effectively restore the gliding surface of the injured flexor tendon, improve tendon excursion, limit adhesion formation, and augment strength of the repair site [7,9,10,12]. This theory has been morphologically and histologically supported in animal models [1,8,21].…”

Section: Introductionmentioning

confidence: 99%

Remodeling of the gliding surface after flexor tendon repair in a canine model in vivo

Zhao

Amadio

Momose

et al. 2002

Journal Orthopaedic Research

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Maintaining a smooth lubricated surface between the flexor tendon and sheath after tendon repair is very important for restoration of digit function. We studied the tendon surface after tendon repair mechanically in a canine model in vivo by measuring frictional force. One hundred and twenty flexor digitorum profundus (FDP) tendons were lacerated to 80% of their cross-section and repaired with either a modified Kessler (MK) or Becker (MGH) repair. The postoperative therapeutic regimen was either synergistic wrist and digit motion (SWM) or passive digit flexion and extension with the wrist fixed in 45" of flexion (FIX). The dogs were sacrificed at one, three, or six weeks postoperatively. Thirty six F D P tendons from normal paws served as the control group, with each control tendon tested in two different conditions: intact and immediately after partial laceration and repair (0 time), making a total of five different timing points (intact, 0 time, one week, three weeks, and six weeks) for each repair type and each postoperative therapy. Frictional force between tendon and proximal pulley was evaluatcd after breaking any adhesions. Compared to intact tendons, friction was significantly increased immediately after tendon repair. The friction of the M K repair was significantly less than that of the M G H repair at all time and therapy groups, except at six weeks in the SWM group. For the M G H repair. at six weeks friction in the SWM group was significantly less than friction in the FIX group. This study showed that postoperative tendon gliding depends on the method of tendon repair and the postoperative therapy regimen. Furthermore, we have demonstrated that the gliding surface after tendon repair remodels with time.

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Influences of the Protected Passive Mobilization Interval on Flexor Tendon Healing

Cited by 82 publications

References 0 publications

Effects of one-month continuous passive motion after arthroscopic rotator cuff repair: results at 1-year follow-up of a prospective randomized study

Effects of one-month continuous passive motion after arthroscopic rotator cuff repair: results at 1-year follow-up of a prospective randomized study

Complications After Flexor Tendon Repair: A Systematic Review and Meta-Analysis

Remodeling of the gliding surface after flexor tendon repair in a canine model in vivo

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