Authors : Samudrala Sreenivas, Siliveru Rajesh Kumar, Ashwin Kasturi
DOI : 10.18231/j.ijos.2020.045
Volume : 6
Issue : 3
Year : 2020
Page No : 242-246
Introduction: An injury to the hand will cause a massive deterioration of the regular function. The most
affected areas are the fingers. Following the tendon repair, it is important to mobilize the hand at the earliest
to stimulate the healing process as well as reduce adhesions.
Materials and Methods: The primary repair was done for the patients under general anesthesia with
tourniquet control within 6-8 hours of the injury. After 24 hours of surgery, rehabilitation for the damaged
fingers were done, which involved active mobilization of the fingers with active flexion initially and then
further passive flexion, according to Kleinert’s regimen.
Results: In the 30 patients in the study, 80% of them were males and 20% were females. The predominant
active mobilization scores according to the Louisville scores was good in 62.3% of the cases, while it was
excellent in 17.4% of the cases. 13% of the patients and 7.2% of the patients had fair and poor scores
respectively
Conclusion: Early active mobilization with passive extension as per Kessler’s technique is a very useful
method for the recovery of the muscle strength and movement of the tendon after repair.
Keywords: Tendon repair, Active mobilization, Passive mobilization.