Introduction: Advanced understanding of flexor tendon anatomy, biomechanics, nutrition, and wound
healing have allowed us to simultaneously return motion while protecting the repaired
tendon laceration during healing. The early motion protocol described by Dr Harold
Kleinert (1977) utilizing dynamic traction with protected finger flexion and resisted
extension is one such method. A common complication of this treatment is small finger
proximal interphalangeal (PIP) joint flexion contractures in zone II repairs. Progressive
resistance during finger extension is felt to be responsible for development of flexion
contractures. There is a clinical correlation between even a minimal PIP joint flexion
contracture and limited independent gliding of the FDP tendon (Evans, 1997).
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Copyright
© 2007 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
