Review of the notes of 46 extensor tendon repairs in 21 patients treated by post-operative dynamic traction without an M.P. flexion block, no tendon ruptures or extensor lag and only one digit without full flexion after a mean follow-up of seven weeks. Re-examination of 26 treated repairs in nine patients for this study demonstrated a mean T.A.M. of 259° at an average 14 months follow-up. No bow-stringing occurred because the extensor retinaculum was not excised, and no tenolyses were necessary.
References
1.
BURTONR. I.Disorders of the Extensor Mechanism. In: EvartsC. M. (Ed.) Surgery of the Musculoskeletal System.New York, Churchill Livingstone, 1983: Vol 1: 2: 259–304.
2.
DOYLEJ. R.Extensor Tendons—Acute Injuries. In: GreenD. P. (Ed): Operative Hand Surgery (2nd edn). New York, Churchill Livingstone, 1988: Vol 3: 2045–2072.
3.
EVANSR. B. (1986). Therapeutic management of extensor tendon injuries. Hand Clinics, 2: 157–169.
4.
EVANSR. B., and BURKHALTERW. E. (1986). A study of the dynamic anatomy of extensor tendons and implications for treatment. Journal of Hand Surgery, 11A: 5: 774–779. (Published erratum appears in Journal of Hand Surgery, 11A: 6: 914).
5.
GELBERMANR. H., AMIFLD., GONSALVESM., WooS., and AKESONW. H. (1981). The influence of protected passive mobilization on the healing of flexor tendons: a biochemical and microangiography study. The Hand, 13: 2: 120–128.
6.
KELLYA. P. (1959). Primary tendon repairs. A study of 789 consecutive tendon severances. Journal of Bone and Joint Surgery, 41A: 581–598.
7.
MILFORDL.Extensor Tendon Repair. In: CrenshawA. H. (Ed.): Campbell's Operative Orthopaedics, 7th ed.St. Louis, C. V. Mosby Co., 1987: Vol 1: 163–165.
8.
STRICKLANDJ. W., and GLOGOVACS. V. (1980). Digital function following flexor tendon repair in Zone II: A comparison of immobilization and controlled passive motion techniques. Journal of Hand Surgery, 5A: 6: 537–543.
9.
TUBIANAR. (1986). Injuries to the digital extensors. Hand Clinics, 2: 149–156.
