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Early active digital flexion is currently a popular way of rehabilitation after primary flexor tendon repair. In discussion with surgeons and therapists, I found quite a few of them have not used …

-At week 4, initiate DIP blocking exercises and active tendon gliding in all three fist positions. -Light prehensile activities (e.g. writing) can be started at 4 weeks during therapy.

Instruct the patient to begin gentle blocking exercises to the PIP and DIP joints outside of the orthosis. Each exercise should be performed for 25 repetitions every 2 hours while awake. …

Immobilization: DBS - wrist in 45 extension (comfortable position), MCP in 30 degrees of flexion, IP's in full extension.

The selection of a postoperative protocol af-ter flexor tendon repair whether passive, active or active/passive is based on the surgi-cal procedure performed and the surgeon’s assessment …

First 3 weeks post-op (beginning at 3-7 days post-op): use either passive (Duran’s), dynamic traction (Kleinert’s) or early active protocols, based on physician preference and patient’s …

Reminder: If FDP of MF, RF, or SF repaired, must include all three digits in splint. Passive (or gravity assisted) wrist flexion, followed by active extension to splint limits. Remove splint: …

Treatment Protocols (Zones III-V): Keep in initial dorsal blocking splint x 1 week, then change & start place and hold exercises Timeline for all flexor tendon repairs regardless of core suture …

it is recommended to delay the early active flexion. The edema may add significant resistance to the flexor tendons an risk rupture. The best results are achieved when the edema is brought …

The Saint John Protocol describes a rehabilitation program of up to half a fist of protected true active finger flexion beginning 3 to 5 days after flexor tendon repair. We no longer use full fist …

Consider flexor stretcher for night ⋅ Wrist neutral, digits at comfortable end range ⋅ Wear at night ⋅ Continue to modify flexor stretcher to position flexor tendons at end of available range

Apr 13, 2019 · This technique article with accompanying video describes open debridement and repair of the flexor pronator tendon, with an emphasis on restoration of the anatomic footprint …

Your flexor tendon repair surgery is an outpatient procedure that will be done in a formal operating room. After checking into our registration desk, you will be taken to a preoperative holding …

Each flexor tendon zone protocol is uniquely different and has its own treatment guideline and orthosis considerations. In this course we go through each of the major protocols, individually, …

This technique article with accompanying video describes open debridement and repair of the flexor pronator tendon, with an emphasis on restoration of the anatomic footprint and …

May 15, 2024 · In this Technique Peek Series video, Joanna Spivack, an Occupational Therapist and Certified Hand Therapist, demonstrates two different protocols for rehabilitating Flexor …

Repair techniques are discussed in detail for each flexor tendon zone. Postoperative rehabilitation greatly influences outcomes, and several protocols are described.

If the flexor tendon is cut all the way through or significantly damaged, your healthcare provider may recommend surgery to rejoin the two ends of the tendon and repair any other damaged …

Sep 26, 2022 · Therapy for bicep tendon repair requires careful planning and a strict protocol during the first critical weeks of healing.

INTRODUCTION In the quest for the perfect tendon repair, dozens if not hundreds of flexor tendon repairs have been published since the first primary repair was described by Bunnell in …