A Double Reverse Kleinert extension splint for extensor tendon repairs in zones VI to VIII

Abstract

Early controlled active mobilization for extensor tendon injuries is well supported as the method of treatment after surgical tendon repair. 1. Aulicino P.L. Acute injuries of the extensor tendons proximal to the metacarpophalangeal joints. Hand Clin. 1995; 11: 403-410 PubMed Google Scholar , 2. Crosby C.A. Wehbe M.A. Early motion after extensor tendon surgery. Hand Clin. 1996; 12: 57-64 PubMed Google Scholar , 3. Evans R.B. Immediate active short arc motion following extensor tendon repair. Hand Clin. 1995; 11: 483-512 PubMed Google Scholar , 4. Rosenthal E.A. The extensor tendons: anatomy and management. in: Mackin E.J. Callahan A.D. Skirven T.M. Schneider L.H. Osterman A.L. Rehabilitation of the Hand and Upper Extremity. 5th ed. Mosby, St. Louis2002: 498-541 Google Scholar There are many clinical complications associated with extensor tendons treated with immobilization, including adherent tendons, loss of digital flexion, extensor lag, joint contractures, and prolonged treatment time. 2. Crosby C.A. Wehbe M.A. Early motion after extensor tendon surgery. Hand Clin. 1996; 12: 57-64 PubMed Google Scholar , 3. Evans R.B. Immediate active short arc motion following extensor tendon repair. Hand Clin. 1995; 11: 483-512 PubMed Google Scholar Extensor tendon injuries in zones VI, VII, and VIII require careful consideration of the extensor tendon anatomy, physiology, and biomechanics to minimize postoperative complications. 1. Aulicino P.L. Acute injuries of the extensor tendons proximal to the metacarpophalangeal joints. Hand Clin. 1995; 11: 403-410 PubMed Google Scholar , 4. Rosenthal E.A. The extensor tendons: anatomy and management. in: Mackin E.J. Callahan A.D. Skirven T.M. Schneider L.H. Osterman A.L. Rehabilitation of the Hand and Upper Extremity. 5th ed. Mosby, St. Louis2002: 498-541 Google Scholar