Abstract

Background: Proper surgery and hand rehabilitation protocols are fundamentals for effective hand flexor tendon repair management. Hand surgery and hand therapy literature involve many scientific papers discussing the Kessler technique, Kleinert and Duran approaches, and others. Current evidence supports golden outcomes of tendon repair that are free tendon gliding and normal hand functions. This paper presents a case of tendon repair who had a four-week hand therapy course.

Case Presentation: Our patient (A N) is a 32 years old male who used to work in construction and steel. He had left index flexor tendons Zone II laceration injury in last December 2019. A N underwent tendons’ repair by the modified Kessler technique and later he was referred to the occupational therapy department for evaluation and hand therapy. His course of management included active and passive motion approach where it went smoothly and the patient showed recovery or good progress in tendon gliding, motion, function, and productive work.

Conclusions: The combination of surgical techniques and proper rehabilitation approaches bettered the results of flexor tendon repair. Early mobilization is fundamental for better tendon gliding hand functions if tendon rupture prevented.

Keywords: Hand Therapy; Occupational Therapy; Hand Flexor Tendon Injury; And Hand Flexor Tendon Repair

References

1. Starr HM., et al. “Flexor Tendon Repair Rehabilitation Protocols: A Systematic Review”. The Journal of Hand Surgery 38.9 (2013): 128-139.
2. Griffin M., et al. “An Overview of the Management of Flexor Tendon Injuries”. The Open Orthopaedics Journal 6.1 (2012): 28-35. 
3. Yang G., et al. “Tendon and ligament regeneration and repair: Clinical relevance and developmental paradigm”. Birth Defects Research Part C: Embryo Today: Reviews 99.3 (2013): 203-222. 
4. Abdelfattah A., et al. “Flexor Tendon Injuries: A Protocol Based on Factors that Enhance Intrinsic Tendon Healing and Improves the Postoperative Outcome”. Egyptian Journal of Plastic and Reconstructive Surgery 33.2 (2009) 145-150.
5. Chan J and Spencer J. “Adaptation to hand injury: An evolving experience”. American Journal of Occupational (2004).
6. Chesney A., et al. “Systematic Review of Flexor Tendon Rehabilitation Protocols in Zone II of the Hand”. Plastic and Reconstructive Surgery 127.4 (2011): 1583-1592. 

Citation

Citation: Moussa Abu Mostafa. “Hand Therapy for Index Flexors Underwent Repair: A Case Study". Acta Scientific Orthopaedics 3.4 (2020): 38-42.

Copyright

Copyright: © 2020 Moussa Abu Mostafa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.