[Protected early mobilization using Levame's device after primary repair of the extensor tendons of the hand. Apropos of a series of 88 cases].
Seventy patients with 88 lesions of the hand extensor apparatus were treated by primary repair followed by post-operative mobilisation with a dynamic steel blade splint (Levame). Results were good or very good in 97.7% of cases and moderate in 2.3% of cases for this series of simple lesions from zones 3 to 6. Prognostic factors influencing final result and wrist position during splint are discussed, the authors leave the wrist free for lesions in zone 3 and 4. Early mobilisation is the best treatment for tendinous lesions and a review of the literature confirms the validity of the author's choice. In spite of its biomechanical deficiencies, this simple technique may be used for non-disciplined patients and by non-specialized physiotherapists. For simple lesions of extensor tendons, the Levame splint may be considered as a real dynamic protective splint.
Guinard
D
D
Unité de Chirurgie de la Main et des Brûlés, Centre Hospitalier Régional de Grenoble.
Lantuejoul
J P
JP
Gerard
P
P
Moutet
F
F
D000293:Adolescent; D000328:Adult; D002648:Child; D015331:Cohort Studies; D005260:Female; D005385:Fingers / Q000502:physiology / Q000601:surgery; D006225:Hand / Q000502:physiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D012677:Sensation / Q000502:physiology; D013165:Splints; D013536:Suture Techniques; D013708:Tendon Injuries / Q000503:physiopathology / Q000601:surgery*; D014945:Wound Healing