A Comparison of Dynamic Extension Splinting and Controlled Active Mobilization of Complete Divisions of Extensor Tendons in Zones 5 and 6
Tóm tắt
We present a prospective randomized trial of two groups of 50 patients each having complete zone 5 and 6 extensor tendon injuries. These were rehabilitated by the use of either a dynamic outrigger splint or a palmar blocking splint. The results were analysed using the Miller and TAM assessments. Good and excellent results were achieved in 95 and 98% of cases following dynamic outrigger mobilization and 93 and 95% of cases using palmar blocking splint mobilization, using the Miller and TAM assessments respectively. There was no statistical difference in the results obtained between the two groups. Therefore, we prefer the latter technique which is simple, cheap, more convenient and requires less therapy time.
Từ khóa
Tài liệu tham khảo
Allieu Y, 1984, Revue de Chirurgie Orthopédique, 20, 68
Allieu Y, 1988, The hand, 3, 157
BunnellSSurgery of the hand1948PhiladelphiaJB Lippincott340346
ClarksonPPellyAThe general and plastic surgery of the hand1962OxfordBlackwell Scientific Publications147193
Couch JH, 1939, Canadian Medical Journal, 199, 27
Dargan EL, 1969, Surgery, Gynecology and Obstetrics, 128, 1269
FlattAEThe care of minor hand injuries1959St LouisCV Mosby175177
Guinard D, 1993, Annales de Chirurgie de la Main, 12, 342
IselinMChirurgie de la main19552ParisMasson et Cie224
Koch SL, 1943, Journal of the American College of Surgeons, 28, 125
Laboureau JP, 1980, Annales de Chirurgie Plastiques, 25, 165
Lemke TP, 1984, Der Chirurg, 55, 264
Lemke TP, 1985, Helvitica Chirurgica Acta, 52, 885
LevameJRééducation de traumatisés de la main1965ParisArchee Ed105109
Miller H, 1942, Surgery, Gynecology and Obstetrics, 75, 693
Nemethi CE, 1956, Industrial Medicine and Surgery, 25, 113
RomanisWHCMitchenerPHThe science and practice of surgery1948LondonJ&A Churchill393395
ThatcherVHWiseRAEarly treatment of injured flexor and extensor tendons1957Northwest Medicine827828
Verdan CE, 1966, Hand surgery, 220