Effects of delayed therapeutic intervention following zone II flexor tendon repair. 1995

V M Tottenham, and K Wilton-Bennett, and J Jeffrey
York County Hospital, Newmarket, Ontario, Canada.

The importance of the timing of therapeutic intervention to the results of zone II flexor tendon repairs was retrospectively studied. Twenty-two patients were categorized as having had either early intervention (referral within the first postoperative week) or delayed intervention (referral between 1 and 3 weeks postoperatively). Patients followed a combined Kleinert/Duran program. Patients' results were calculated according to Strickland's formula for total active range of motion. In the early intervention group, 60% of the results were excellent and 40% were good; there were no fair or poor results. In the delayed intervention group, 50% of the results were excellent, 25% were good, 17% were fair, and 8% were poor. The difference between the two groups was not statistically significant. However, these results are clinically significant because a fair or poor result would reduce the patient's use of the affected digit and could lead to further surgical intervention.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011182 Postoperative Care The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed) Care, Postoperative,Postoperative Procedures,Procedures, Postoperative,Postoperative Procedure,Procedure, Postoperative
D005260 Female Females
D006225 Hand The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb. Hands
D006230 Hand Injuries General or unspecified injuries to the hand. Injuries, Hand,Hand Injury,Injury, Hand
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective

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