Postoperative management of extensor tendon repairs in zones V, VI, and VII

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
D ThomasD Guinard

Abstract

This paper describes the postoperative management plan for extensor tendon repair in zones V, VI, and VII as conceived by the Grenoble team. This plan includes immediate, postoperative systematic mobilization for all patients with surgical repairs in zones II through VIII. Postoperative mobilization in zones V and VI is performed under the protection of a Levame-type, dorsal steel leaf-blade spring. Depending on lesion location, proximal or distal to juncturae tendinum, Frère's three-finger rule applies. In zone VII, differential tendon gliding between the wrist and finger extensors and surrounding tissue is accomplished with a Tom splint, which gives individual extension assistance to each digit and the wrist while limiting flexion.

References

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Citations

May 2, 2003·Chirurgie de la main·R C RussellA Grobbelaar
Nov 4, 2000·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A R KhandwalaD Elliot
Jul 4, 2012·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·R K Patil, A R Koul
Sep 23, 2014·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Birgit SvensYugesh Caplash
Jan 27, 2007·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·M H EissensC K van der Sluis
Oct 30, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Melissa J HirthLisa O'Brien
Aug 13, 2008·The Journal of Hand Surgery, European Volume·A R KoulV Philip
Jun 18, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·S BrünerG Germann
Mar 14, 2020·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Melissa J HirthLisa O'Brien
Nov 7, 2020·Hand Surgery and Rehabilitation·Ö B CesimÇ Öksüz
Nov 16, 2010·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Barbara HallAndy H Lee

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