Early active mobilisation versus immobilisation after extrinsic extensor tendon repair: A prospective randomised trial
| Autor: | Ashok Raj Koul, Rahul K. Patil |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Surgery early active mobilization 030230 surgery Return to work 03 medical and health sciences Active motion Grip strength 0302 clinical medicine Early active mobilisation following extensor tendon repair medicine extensor tendon injuries business.industry Indian population 030208 emergency & critical care medicine static splinting of extensor tendons lcsh:RD1-811 Surgery Tendon medicine.anatomical_structure Original Article Range of motion Splint (medicine) business |
| Zdroj: | Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India Indian Journal of Plastic Surgery, Vol 45, Iss 01, Pp 029-037 (2012) |
| ISSN: | 1998-376X |
| Popis: | Background: Whether to splint the extensor tendon repairs or to mobilise them early is debatable. Recently, mobilisation has shown favourable results in a few studies. This study was aimed to compare the two favoured protocols (immobilisation vs. early active motion) in Indian population. Patients and Methods: Between June 2005 and June 2007, patients with extensor tendon injuries in zones V-VIII were randomly distributed in two groups: Group A, early active motion; and group B, immobilisation. Their results at 8 and 12 weeks and 6 months were compared. Results: Patients in early active motion group were found to have better total active motion and early return to work. This difference was statistically significant up to 12 weeks, but not at 6 months. Conclusion: Early active motion following extensor tendon repair hastens patients′ recovery and helps patients to gain complete range of motion at earlier postoperative period. With improved grip strength, the early return to work is facilitated, though these advantages are not sustained statistically significantly over long term. |
| Databáze: | OpenAIRE |
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