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A Prospective Review of Open Central Slip Laceration Repair and RehabilitationFrom the Hand Therapy Unit and RAFT Institute for Plastic Surgery, Mount Vernon Hospital, Northwood, Middlesex, UK Correspondence: Ms Anna L. Pratt, Hand Therapy Unit, Mount Vernon Hospital, Rickmansworth Road, Northwood, Middlesex HA6 2RN, UK. Tel.: +44 1923 844 197; Fax: +44 1923 844 088; E-mail: anna_pratt{at}hotmail.com A prospective review was carried out to evaluate the outcome of surgically repaired open central slip (zone III) injuries which were treated with 3 weeks of proximal interphalangeal joint immobilization within a cylinder splint and then with 3 weeks of controlled mobilization within a Capener coil splint. Thirty-one fingers in 27 patients were assessed by the same independent therapist. All fingers achieved an excellent or good recovery with a mean proximal interphalangeal joint flexion of 94° (range 70–110°) and a mean distal interphalangeal joint flexion of 57° (range 30–81°). Extension deficits of the proximal interphalangeal joint were noted in five fingers (mean 6°, range 3–15°). The results show that a combination of immobilization and controlled mobilization is an effective rehabilitation regime for surgically repaired open central slip injuries.
Journal of Hand Surgery (British and European Volume), Vol. 27, No. 6,
530-534 (2002) |
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