A prospective, controlled, randomized trial comparing early active extension with passive extension using a dynamic splint in the rehabilitation of repaired extensor tendons

被引:37
作者
Chester, DL [1 ]
Beale, S [1 ]
Beveridge, L [1 ]
Nancarrow, JD [1 ]
Titley, OG [1 ]
机构
[1] Wordsley Hosp, W Midlands Reg Plast & Reconstruct Surg Unit, Stourbridge, W Midlands, England
关键词
D O I
10.1054/jhsb.2001.0745
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
This prospective, randomized, controlled trial compared two methods of rehabilitating extensor tendon repairs in zones IV-VIII. Group A patients followed an early active mobilization regimen and Group B patients followed a dynamic splintage regimen. Data on 19 patients in Group A and 17 patients in Group B were collected at 4 weeks and at final follow-up (3 months median follow-up for both groups). Extension lag, flexion deficit and total active motion (TAM) were measured. At 4 weeks, patients in Group B had a better TAM (median 87%, range 56-102%) compared to patients in Group A (median 77%, range 52-97%). At final follow-up, there were no significant differences in the results of the two groups. There were no ruptures in either group.
引用
收藏
页码:283 / 288
页数:6
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