Author(s): I.Ţopa | T.Stamate
Journal: Jurnalul de Chirurgie
ISSN 1584-9341
Volume: 7;
Issue: 3;
Start page: 408;
Date: 2011;
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Keywords: FUNCTIONAL REEDUCATION | FLEXOR TENDONS | ZONE II | TENDON LESIONS
ABSTRACT
Functional reeducation in "no man's land" areas represents a challenge for the hand therapist, the large number of therapeutically protocols with the comparable results pose questions about how to understand, to choose and to apply theme. This variation guides us to combine some protocols for find the best solution in tendinous lesions without associated injury (nerve, vessel, bone). Methods: This study compare the functional results between Kleinert, Silfverkiöld-May, Gratton protocols associated with tenodesis movements (Cooney protocol) and Strickland protocol towards evaluate them by interconnection and with the literature. The patients were evaluated regarding TAM, grip strength, finger dexterity and disability in daily living activities at 8 weeks postoperative. Results: We studied 112 patients consecutives and who not suffered tendons ruptures and found the best results to Strickland group followed by Silfverkiöld and May, Gratton and Kleinert groups. Conclusion: For the lesions tendinous injury in zone II, our first is to use the therapeutically indication Strickland protocol.
Journal: Jurnalul de Chirurgie
ISSN 1584-9341
Volume: 7;
Issue: 3;
Start page: 408;
Date: 2011;
VIEW PDF
DOWNLOAD PDF Original pageKeywords: FUNCTIONAL REEDUCATION | FLEXOR TENDONS | ZONE II | TENDON LESIONS
ABSTRACT
Functional reeducation in "no man's land" areas represents a challenge for the hand therapist, the large number of therapeutically protocols with the comparable results pose questions about how to understand, to choose and to apply theme. This variation guides us to combine some protocols for find the best solution in tendinous lesions without associated injury (nerve, vessel, bone). Methods: This study compare the functional results between Kleinert, Silfverkiöld-May, Gratton protocols associated with tenodesis movements (Cooney protocol) and Strickland protocol towards evaluate them by interconnection and with the literature. The patients were evaluated regarding TAM, grip strength, finger dexterity and disability in daily living activities at 8 weeks postoperative. Results: We studied 112 patients consecutives and who not suffered tendons ruptures and found the best results to Strickland group followed by Silfverkiöld and May, Gratton and Kleinert groups. Conclusion: For the lesions tendinous injury in zone II, our first is to use the therapeutically indication Strickland protocol.
