Article

The repair of the finger flexor tendons can be complicated by the appearance of
ruptures and peritendinous adhesions. Ruptures are often treated with tendon
grafts. Peritendinous adhesions can require tenolysis.
Following these two
surgical procedures, there is a risk of new adhesions and rupture. Rehabilitation
after this secondary surgery consists of a tailored, closely supervised protocol.
Protocols used by the team at the Physical Medicine and Rehabilitation Department
of the Regional Rehabilitation Institute and the team at the Plastic and
Reconstructive Surgery Department of the Emile-Galle Surgical Center of Nancy
(France) are described. A close collaboration between these teams of surgeons and
physical therapists is essential. After tendon grafting, protected early motion
helps to move the transplant immediately while still protecting it. After
tenolysis, immediate (several times a day) and extended rehabilitation ensures
that the mobility obtained intraoperatively is maintained. It is performed in a
specialized rehabilitation center during the first three postoperative weeks. The
goal is to prevent new adhesions from forming while taking into account tendon's fragility.

Langue : FRANCAIS