[Initial results of treatment of a two-stage surgical technique of chronic flexor tendon injuries with Kleinert modified early mobilization]. 1996

G Kaltenecker, and G Wöhry, and G Bockhorn
Universitätsklinik für Unfallchirurgie in Wien.

The authors present first results after secondary two-stage flexor-tendon reconstruction and a modified postoperative management according to Kleinert. Between 1990 and 1993 we treated eight men and two women with an average age of 35 (19 to 58) years. All injuries were in zone 2. We used the silastic rod (5 mm) as an active gliding prosthesis in stage I. All patients received a palmaris tendon graft in stage II. The patients were treated with a modified Kleinert splinting technique inactivating the palmar traction, employing extension by a rubber band during the night after the second week. We had no complications during the whole treatment phase, no rupture of the tendon grafts and no infection. In our functional results, we saw in one case a lack of PIP-joint flexion of 10 degrees and in another an extension deficit of 15 degrees in the DIP-joint. With this modified technique we achieved satisfying results especially in otherwise non cooperative patients.

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
D005383 Finger Injuries General or unspecified injuries involving the fingers. Injuries, Finger,Finger Injury,Injury, Finger
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
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
D013165 Splints Rigid or flexible appliances that are used to maintain a displaced or movable part in position, or to maintain the position of and protect an injured part. Dynamic Orthoses,Dynamic Splint,Dynamic Splinting,Dynamic Splints,Static Orthoses,Static Splint,Static Splinting,Static Splints,Dynamic Splintings,Splint,Splint, Dynamic,Splint, Static,Splinting, Dynamic,Splinting, Static,Splints, Dynamic,Splints, Static,Static Orthose
D013708 Tendon Injuries Injuries to the fibrous cords of connective tissue which attach muscles to bones or other structures. Injuries, Tendon,Injury, Tendon,Tendon Injury

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