A SPLINT FOR CONTROLLED ACTIVE MOTION AFTER FLEXOR TENDON REPAIR - DESIGN, MECHANICAL TESTING, AND PRELIMINARY CLINICAL-RESULTS

被引:12
作者
CHOW, SP
STEPHENS, MM
NGAI, WK
SO, YC
PUN, WK
CHU, M
CROSBY, C
机构
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 04期
关键词
D O I
10.1016/S0363-5023(09)90030-2
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
A splint for controlled active motion after flexor tendon repair is described. It incorporates a single core-coated elastic band passing around a palmar pulley and attached proximally to a spring wire. Its mechanical properties were tested against six other systems. The tension in various systems all rose near full extension. However, the palmar pulley, the spring wire, and the elastic band each could lower the tension significantly. When the bending moments at the interphalangeal joints were measured, all systems produced a peak during the latter part of extension. With the palmar pulley, spring wire, and elastic band, the rise was minimal and in fact, the bending moments diminished near full extension. Initial results in 28 flexor tendon repairs using this splint showed less flexion contracture when compared with 78 flexor tendon repairs using a standard rubber band anchored at the wrist. © 1990, American Society for Surgery of the Hand. All rights reserved.
引用
收藏
页码:645 / 651
页数:7
相关论文
共 16 条
[1]
Young RES, Harman JM, Repair of tendon injuries of the hand, Ann Surg, 151, 4, pp. 562-566, (1960)
[2]
Kleinen HE, Kutz JE, Ashbell TS, Et al., Primary repair of lacerated flexor tendon in “no man's land”. Proceedings of the American Society for Surgery of the Hand, J Bone Joint Surg, 49 A, (1967)
[3]
Kessler I, Nissim F, Primary repair without immobilization of flexor tendon division within the flexor tendon sheath. An experimental and clinical study, Acta Orthop Scand, 40, pp. 587-601, (1969)
[4]
Duran RE, Controlled passive motion following flexor tendon repair in zone two and three, American Academy of Orthopaedic Surgeons: Symposium on tendon surgery in the hand, pp. 105-114, (1975)
[5]
Strickland JW, Glogovac SV, Digital function following flexor tendon repair in Zone II: a comparison of immobilization and controlled passive motion techniques, J Hand Surg, 5, pp. 537-543, (1980)
[6]
Becker H, Orak F, Duponselle E, Early active motion following a bevelled technique of flexor tendon repair
[7]
report on fifty cases, J Hand Surg, 4, pp. 454-460, (1979)
[8]
Chow JA, Thomas LJ, Dovelle S, Et al., A combined regimen of controlled motion following flexor tendon repair in “no man's land”, Plast Reconstr Surg, 79, pp. 447-453, (1987)
[9]
Kleinert HE, Kutz JE, Atasoy E, Et al., Primary repair of flexor tendon, Orthop Clin North Am, 4, pp. 865-876, (1973)
[10]
Kleinert HE, Kutz JE, Cohen MJ, Primary repair of zone two flexor tendon lacerations, A.A.O.S. Symposium on tendon surgery in the hand, pp. 91-104, (1975)