The Evolution of Early Mobilization of the Repaired Flexor Tendon

The Role of Mechanical Loading in Tendon Development, Maintenance, Injury, and Repair

“…Manipulation of the mechanical environment of healing tendon may exert a biologic effect through the mechanotransduction mechanism and holds promise for promoting a repair process that restores normal tendon structure and function. Clinical applications of mechanobiological principles following tendon injury form the basis of rehabilitation protocols [71][72][73] . Programs emphasizing tendon loading may be applied for the reversal of age and disuse-related tendon dysfunction, rehabilitation following tendon overuse injury, and in the development of postoperative physical therapy regimens that optimize healing and function following surgical repair.…”

Early Controlled Passive Motion Improves Early Fracture Alignment and Structural Properties in a Closed Extra-Articular Metacarpal Fracture in a Rabbit Model

“…55 Related tendon healing research has shown that early controlled mobilization of fragile primary flexor tendon repairs leads to improved biologic/tendon healing, faster strength gains, no increased risk of structural failure (rupture), and better and faster functional recovery of the affected individual. [55][56][57] The ECPM protocol used in this study led to significant improvements in an early fracture callus's ability to resist and bear 4-point bending loads, and these improvements were not a result of the fracture laying down a bigger callus. The reason for this is not clear; however, other studies also have shown improvements in the early biomechanical properties of healing fractures after early fracture motion, without showing a marked increase in callus size.…”

Die primäre Naht der Fingerbeugesehnen

“…Rupturen traten nicht auf [20]. Sandow beobachtete nach Sechsstrangnaht von Beugesehnenverletzungen der Zone II und früher aktiver Nachbehandlung in 78% sehr gute und gute Ergebnisse (nach [16]). Die Patienten wurden in einer Schiene in 20° Extension des Handgelenks und 90° Beugung der Grundgelenke nachbehandelt.…”