Journal of health sciences, Hiroshima University Volume 6 Issue 1
2006-12-28 発行

ZoneII屈筋腱断裂修復後の後療法の特徴に関する一考察 : 3週間固定法とKleinert変法の経時的関節可動域の比較

Characteristic of postoperative treatment after repair of flexor tendon rupture in Zone II : Comparison between 3 weeks immobilization and modified Kleinert method in the progress of range of motion
Iitsuka, Terufumi
Watanabe, Kentarou
Murakami, Tsuneji
This study compared progress of range of motion(ROM)outcomes between 3 weeks of immobilization(20 cases, 20 fingers)and modified Kleinert method(14 cases, 15 fingers)as postoperative treatments following surgical repair of flexor tendon rupture in ZoneⅡ. Both postoperative treatments were divided into outcomes by Strickland's evaluation method. As a result, both treatment methods showed an improvement to the extension of the proximal interphalangeal joint(PIP joint)and the distal interphalangeal joint(DIP joint). In addition, good recovery of the DIP joint was clearly observed in the modified Kleinert method, and the importance of single excursion of flexor digitorum profundus(FDP)was indicated. As above, we recommend that therapists promote active or passive extension exercise, and promote single excursion of FDP, if using the 3 weeks immobilization method, as soon as possible.
flexor tendon rupture
modified Kleinert method
immobilization method