This paper reports the results of a one year audit of flexor tendon injuries in zone II managed in a controlled mobilisation programme. It discusses the rationale for the use of this programme and compares results with those of other units. On the basis of these results, the authors suggest that rehabilitation should be tailored to individual needs and that trends in management should be carefully evaluated before implementation.
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References
1.
ChowJAThomasLJDovelleSMilnorWHSeyfarAESmithAC: A combined regime of controlled motion following flexor tendon repair in ‘no man's land’. Plast Reconstr Surg79:447–453, 1987.
2.
ChowJAThomasLJDovelleSMonslvlasJMilnorWHJacksonJP: Controlled motion rehabilitation after Flexor tendon repair and grafting: A multi centre study. J Bone Joint Surg70B:392–395, 1988.
3.
CltronNDForsterA: Dynamic splinting following flexor tendon repair. J Hand Surg12B:96–100, 1986.
4.
CullenKWTolhurstPLangPPageRE: Flexor tendon repair in zone It followed by controlled active mobilisation. J Hand Surg14A:392–395, 1986.
5.
DuranRJHouserRG: Controlled passive motion following flexor tendon repair in zones II and III. In American Academy of Orthopaedic Surgeons: Symposium on Tendon Surgery in the Hand. St Louis, Mosby, 1975 pp105–114.
6.
EdinburghMWidgerowADBiddulphSL: Early post-operative mobilisation of flexor tendon injuries using a modification of the Kleinert technique. J Hand Surg12A:34–38, 1987.
7.
ElliotDMolemannNSFlammingAFSHarrisSBFosterAJ: The rupture of acute flexor tendon repairs mobilised by the controlled active motion regime. J Hand Surg19B:607–612, 1994.
8.
KnightSL: A modification of the Kleinert splint for mobilisation of digital flexor tendons. J Hand Surg12B:179–181, 1987.
9.
ListerGDKleinertHEKutzJEAtasoyE: Primary flexor tendon repair followed by immediate controlled mobilisation. J Hand Surg2:441–451, 1977.
10.
McGroutherDAAhmedMR: Flexor tendon excursions in ‘no man's land’. The Hand13:129–141. 1981.
11.
SlatteryPCMcGroutherDA: A modified Kleinert controlled mobilisation and splint following flexor tendon repair. J Hand Surg9B:217–218, 1984.
12.
SmallJOBrennenMDCovilleJ: Early active mobilisation following flexor tendon repair in zone II. J Hand Surg14B:383–391, 1989.
13.
StricklandJWGlovovacSV: Digital function following flexor tendon repair in zone II. A comparison of immobilisation and controlled passive motion techniques. J Hand Surg5:537–543, 1980.
14.
BalnbridgeLCRobertsonCCiillesD: A Comparison of post-operative mobilisation of flexor tendon repairs with ‘passive flexion-active extension’ and controlled active motion techniques. J Hand Surg19B:517–521, 1994.