ELASTIC BAND MOBILIZATION AFTER FLEXOR TENDON REPAIR - SPLINT DESIGN AND RISK OF FLEXION CONTRACTURE

被引：6

作者：

BURGE, PD

BROWN, M

机构：

[1] From the Nuffield Orthopaedic Centre, Oxford

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1990年 / 15B卷 / 04期

关键词：

D O I：

10.1016/0266-7681(90)90087-K

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Elastic band mobilisation of repaired flexor tendons in zone 2 may be complicated by flexion contracture of the P.I.P. joint. The mechanics of three types of elastic band mobilisation were analysed from lateral video-recordings of finger movement and the flexion moment at the P.I.P. joint was derived at every 10° of flexion. The conventional forearm attachment of the elastic band produced a steep rise in P.I.P. joint flexion moment during extension; this effect was greatest when the M.P. joint was at 70° and least at 20°. Flexion moments for attachments around the dorsum of the hand or under a palmar pulley were lower, uniform throughout the range of P.I.P. joint motion and independent of the position of the M.P. joint. The effort needed to extend the P.I.P. joint is strongly influenced by the method of elastic band attachment; consideration should be given to both tension and moment arm in application of elastic band mobilisation. © 1990, SAGE Publications. All rights reserved.

引用

页码：443 / 448

页数：6

共 20 条

[1]

BECKER H., HARDY M., A Constant Tension Dynamic Splint, Plastic and Reconstructive Surgery, 66, 1, pp. 148-150, (1980)

[2]

CANNON N.M., STRICKLAND J.W., Therapy following flexor tendon surgery, Hand Clinics, 1, 1, pp. 147-165, (1985)

[3]

CHOW J.A., THOMES L.J., DOVELLE S.W., MILNOR W.H., SEYFER A.E., SMITH A.C., A Combined Regimen of Controlled Motion Following Flexor Tendon Repair in “No Man’s Land”, Plastic and Reconstructive Surgery, 79, 3, pp. 447-453, (1987)

[4]

EJESKAR A., Flexor tendon repair in no man’s land: Results of primary repair with controlled mobilization, Journal of Hand Surgery, 9A, 2, pp. 171-177, (1984)

[5]

GELBERMAN R.H., VANDE BERG J.S., LUNDBORG G.N., AKESON W.H., Flexor Tendon Healing and Restoration of the Gliding Surface. An Ultrastructural Study in Dogs, Journal of Bone and Joint Surgery, 65A, 1, pp. 70-80, (1983)

[6]

GELBERMAN R.H., WOO S.-Y., LOTHRINGER K., AKESON W.H., AMIEL D., Effects of early intermittent passive mobilisation on healing canine flexor tendons, Journal of Hand Surgery, 7, 2, pp. 170-175, (1982)

[7]

GAUL J.S., Correspondence Newsletter of the American Society for Surgery of the Hand, 26, (1985)

[8]

LISTER G., Indications and Techniques for Repair of the Flexor Tendon Sheath, Hand Clinics, 1, 1, pp. 85-95, (1985)

[9]

LISTER G.D., KLEINERT H.E., KUTZ J.E., ATASOY E., Primary flexor tendon repair followed by immediate controlled mobilisation, Journal of Hand Surgery, 2, 6, pp. 441-451, (1977)

[10]

KNIGHT S.L., A modification of the Kleinert splint for mobilisation of digital flexor tendons, Journal of Hand Surgery, 12B, 2, pp. 179-181, (1987)

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