Early mobilization program and rehabilitation after flexor tendon repair

Objective To investigate the methods and significance of early mobilization to the function rehabilitation after flexor tendon repair.Methods 286 complete flexor tendon amputation in 116 cases which was not combined with fractures were repaired.From the third day after operation,the digits were mobilized with a combination of assisted passive flexion and active extension simultaneously in the first 4 weeks.The digits flexing and extending scope was increased gradually controlled by doctors.Unassisted active flexion extension exercises begun 4 weeks after operation.The injured fingers were given physical therapy of voice band therapy 4 weeks postoperatively,ultrashort wave treatment 4 weeks and wax hot therapy 6 week postoperatively.Patients were followed up once weekly to be instructed how to go on functional training after they were discharged.Results Patients were followed up from 6 to 18 months.The function recovery of the corresponding fingers was evaluated by TAM method which included 192 excellent digits(77.1%),25 fine digits(10.0%),15 normal digits(6.0%) and 17 bad digits (6.8%).Conclusion It was inevitable for the repaired tendon to be adhered to the around tissue.Early mobilization of relevant injured fingers could enhance formation of non limited adhesion,increase excursion of the reconditioned tendon and revert tendon intensity at early time.Early mobilization should begin at 3 days after operation.