Use of relative motion splint in extensor mechanism repairs: a retrospective case series Utilisation d'une orthèse de mobilité relative après réparation de l'appareil extenseur. Une série rétrospective


CESİM Ö. B. , Ayhan E., Baş C., ÖKSÜZ Ç.

Hand Surgery and Rehabilitation, vol.40, no.1, pp.81-86, 2021 (Journal Indexed in SCI Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 40 Issue: 1
  • Publication Date: 2021
  • Doi Number: 10.1016/j.hansur.2020.10.009
  • Title of Journal : Hand Surgery and Rehabilitation
  • Page Numbers: pp.81-86

Abstract

© 2020 SFCMThis case series determines the clinical outcomes of relative motion extensor splints (RMES) in extensor mechanism repairs. Nine patients who underwent extensor tendon repair, juncturae tendinum or sagittal band repair were included. A forearm-based volar blocking wrist splint was applied after surgery. The RMES was configured at the initial hand therapy appointment. Total active motion (TAM) at 4 and 8 weeks after surgery and return to work were assessed. There were 7 males and 2 females with a mean age of 28 (16-53 years). The mean TAM of the uninjured digits was 270° (245°–290°). The mean TAM of the injured digits was 209° (125°–275°) at week 4 and 245° (185°–290°) at week 8. The mean return to work time was 25 days. None of the patients had tendon ruptures and required secondary procedures. In our study, active movement with RMES was allowed immediately after surgery. The RMES program supported safer and earlier recovery of motion. All patients were able to perform activities of daily living while wearing the splint.