Early mobilization after flexor tendon repair of injuries in hand: a prospective study


  • Loya Lava Kumar S Department of Orthopedics, MR Medical College, Kalaburagi, North Karnataka




Flexor tendon repair, Early mobilization, Modified Kessler’s technique


Background:One of the greatest challenges is the restoration of the digital function after a flexor tendon injury. Whereas an early mobilization leads to an improved tendon healing with an increased tensile strength , decreased adhesion formation, early return of function and less stiffness and deformity. This study was conducted to assess the efficacy of an early mobilization in the flexor injury patients in the different zones of the hand.

Methods: 43 patients between the ages 10-70 years with flexor tendon injuries in the all zones of the hand admitted to our hospital were included into the study. Modified Kessler’s technique was used to repair the tendons and early mobilization of the digits was commenced on the 4th day postoperatively. The range of movement was monitored and the flexion lag and extension lags were noted.

Results:The total number of injured digits were 58, out of which, 32 (58%) were in zone 2, 14 in zone 3 (25%), 8 in zone 5 (15%) and 4 in zone 1 (2%). Most of the excellent results were seen in the ring and the little fingers, where the flexion lag was <1cm and extension lag <150. The poor results were seen mainly it the index fingers where there were 2 cases of the flexion lag being more than 3cm.

Conclusions:Modified Kessler technique is very useful in providing tensile strength and allowing early gentle active and passive movement of the fingers. This reduces the tendon rupture and the chance of forming adhesion.






Original Research Articles