Evaluation Of Secondary Outcomes After Hand Flexor Tendon Repair Managed By Early Active Mobilization

Document Type : Original Article

Authors

1 Physiotherapist at Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt. & MSc candidate, Department of Physical Therapy for Surgery, Cairo university, Egypt,

2 Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Egypt

3 Plastic and reconstructive surgery department at Qasr AL-Ainy medical school

10.21608/iptccu.2024.457064

Abstract

Background :flexor tendon injury is one of the most common hand injuries resulting in devastating effects on patients’quality of life and their return to normal functional  activities so many rehabilitation protocols had been developed and practiced to rehab those patients post operative and one of the most effective protocols is Early active mobilization which helps fast and safe recovery after surgeries.
Objectives :to reveal if early active mobilization helps reducing number of secondary interventions and yielded good functional outcomes to reduce the disabilities that might result from such injuries.  Subjects and methods:52 patients were selected from Qasr Alainy hospital out patient clinics and outpatient clinic at faculty of physical therapy those patients had their flexor tendon repair surgeries  done around 3 months earlier to time of assessment and through this period they had their rehabilitation using the (early active mobilization protocol as was described in guidelines ).patients were assessed if they had done or planned to have any secondary interventions and their  functional level was assessed using the Louisville system . Results: Only 6 (11.5%) subjects had second intervention and 46 (88.5%) did not need second intervention.  The Louisville grading system  revealed that 16 (30.8%) subjects had excellent, 24 (46.2%) were good, 8 (15.4%) fair and 4 (7.7%) had poor outcomes .
Conclusion: Patients who followed an early active mobilization protocol after their hand flexor tendon repair experienced significant improvements in their functional activities and reduced the need for additional interventions

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