What is the Kleinert protocol for a flexor tendon injury repair?

In the original Kleinert protocol, the dorsal blocking splint blocked the wrist in 45 degrees of flexion and the MP joints in 10 to 20 degrees. Rubber band traction was directed to the fingernail from the wrist or just proximal to the wrist.

What is Duran protocol?

Duran, MD’s initial Early Passive Motion Program established in the mid 1970’s. The. PROM exercises including the following: o 25 repetitions of passive flexion & extension of the PIP joint. o 25 repetitions of passive flexion & extension of the DIP joint.

How do you repair flexor tendons?

Surgery will be required in order to repair the damaged tendon. A small incision is made to locate the ends of the tendon and they are then stitched back together. Flexor tendons are often difficult to get to and are located near important nerves so repair will generally occur under a general anaesthetic.

What is Kleinert protocol?

Objective: Kleinert (active extension, rubber-band passive flexion) and Duran (passive extension, passive flexion) protocols are two basic types of early motion programs for rehabilitation of flexor tendon injuries.

Which splint is used for flexor tendon injury?

7 therapeutic protocols following flexor tendon repair Even so, one constant in all rehabilitation protocols has remained the Dorsal Blocking Orthosis. A versatile splint that limits the amount of active and passive finger extension to prevent possible tendon rupture.

What happens if a torn flexor tendon is not repaired?

If your flexor tendons are damaged, you’ll be unable to bend 1 or more fingers. Tendon damage can also cause pain and swelling (inflammation) in your hand. Sometimes, damage to the extensor tendons can be treated without the need for surgery, using a rigid support called a splint that’s worn around the hand.

What is tendon excursion?

Tendon excursion takes place as the muscle contracts and the joint rotates. The amount of tendon excursion is related to the amount of the joint rotation. A pulley-type constraint keeps the tendon path close to the bone when the tendon crosses a joint.

What is MCP splint?

An MCP blocking splint is often fabricated for patients with Stenosing Tenosynovitis or Trigger Finger. The splint allows full PIP joint and DIP joint motion while decreasing the friction between the flexor tendon and the pulley mechanism.