Clinical Trial Comparing Active and Passive Rehabilitation After Flexor Tendon Injury
Tendon Injury - Hand
About this trial
This is an interventional treatment trial for Tendon Injury - Hand
Eligibility Criteria
Inclusion Criteria:
- Primary, complete injury to FDP in digit II-V
- Injury in zone I och II
- Operation within 72 hours from injury
- The patient must be able to fulfill the rehabilitation program.
Exclusion Criteria:
- Concomitant fracture
- Concomitant soft tissue defect
- Severe crush injury
- Palmar plate injury demanding immobilisation
- Concomitant joint injury
- Concomitant extensor tendon injury
- Bilateral injury
- Previous loss of function in the finger before the injury
- Uncertainty if the patient can fulfill the rehabilitation
- The surgeon think it is unsuitable with active training after surgery
Sites / Locations
- Department of Hand Surgery, Sahlgrenska University Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Active rehabilitation
Passive rehabilitation
The patient see an occupational therapist 1-3 days after surgery. A splint is made to immobilise the wrist and work as a extension block for the MCP-joints. This splint has to be worn day and night for 4 weeks. Another splint that immobilise the DIP- and PIP-joints are worn whenever the patient is not exercising. During active exercise the patient follows a strict protocol with both active and passive training and increasing number of repetitions. The rehabilitation is proceeding for 3 months.
1-3 days after surgery the patient gets a new plaster that immobilise the wrist and work as an extension block for the MCP-joints. The occupational therapist attach rubberbands to the nails of all the fingers and the training is done passively with active hold according to a strict protocol. The training with rubberbands is done during 4 weeks. After that the rehabilitation is active. The rehabilitation is proceeding for 3 months.