Catálogo de publicaciones - revistas

<jats:p> In recent years, our unit has put into practice of flexor tendon repairs a number of novel concepts, which we hope address some critical difficulties in primary flexor tendon repairs in Zone 2, thus pointing the way towards predictable surgical outcomes. In this article, I present my practical views on indications, techniques, post-surgical treatment and outcome measures, and describe our methods of sheath-pulley release, tendon repair, postoperative motion and outcome evaluation. </jats:p>

<jats:p> The aim of this study was to compare an early active motion (EAM) regimen to a modified Kleinert passive motion therapy in Zone 2 flexor tendon injuries with regards to range of motion (ROM), grip strength and patient-reported outcome measures (PROMs). Seventy-two patients were included. At 3 months postoperatively, we found no difference in total active motion (TAM) between the EAM and the Kleinert groups (median 195.5°, range 115°–273° versus median 191.5°, range 113°–260°), but a significantly better grip strength (median 76%, range 44%–99% versus median 54%, range 19%–101%; p &lt;  0.0005) in the EAM group. Disabilities of the Arm, Shoulder and Hand (DASH) score as well as patient-reported weakness, cold intolerance and problems in daily activities also favoured the EAM group. At 12 months postoperatively, there was no difference in TAM, grip strength or any of the PROMs used. We conclude that EAM leads to a quicker recovery in terms of grip strength and PROMs, but that both regimens lead to similar results at 12 months. </jats:p><jats:p> Level of evidence: I </jats:p>