Document Type : Original Article
Authors
1
47 Adnan El-malki st. , Minya, Minya ,Egypt
2
Professor of plastic surgery , faculty of medicine,elminia university
3
Professor of Maxillofacial and Plastic Surgery , Faculty of Medicine, Minia University, Egypt
4
Lecturer at Plastic Surgery department, faculty of medicine, Minia university
Abstract
Background; Safe active motion of a repaired extensor tendon has been achieved via regimens that permit limited motion across the MCP and IP joints with support from static and dynamic splints. Two early active regimens have modified early passive protocols and have created an ‘early active regimen’ by including either active MCP joint extension or active wrist extension while preserving the use of a dynamic outrigger, Aim and objective; to evaluate the effect of usage of relative motion splinting in comparison to the static splint at the rehabilitation after extensor tendon injuries regarding Healing time after repair, Joint stiffness, and restoration of normal hand function, Subjects and methods; The study was conducted at Minia University Hospital, faculty of medicine, department of plastic and reconstructive surgery. The study included 20 patients. There were 2 groups each group including 10 cases. Results; there was a statistically significant difference between the studied groups regarding Flexion deficit, pain, Correlations between time needed to regain normal range of motion and different parameters, Conclusion; relative motion splinting technique is better than Static splint technique because the first group had higher flexion deficits in their MCP, PIP, and DIP joints at different time points, with a gradual reduction over time. On the other hand, the second group exhibited lower flexion deficits. The significant differences observed between the two groups suggest that the second group had better flexion capabilities compared to the first group at 3, 6, and 12 weeks for all joint types (MCP, PIP, and DIP).
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