Relative Motion Protocol Versus Place and Hold Protocol After Hand Zone II Flexor Tendon Repair: A Prospective Randomized Controlled Trial

Document Type : Original Article

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Abstract

Background: Flexor tendon injuries in zone II are very challenging and till now there no consensus on a particular therapy protocol to provide the best outcomes postoperatively.
Aim: The present study was introduced to explore the effect of a relative motion protocol and compare it to those of a place and hold protocol on the outcomes after zone II flexor tendon repair.
Patients and Methods: Sixty patients who underwent zone II flexor tendon repair participated in this study. Their ages were between 20 to 35 years. They were collected from Cairo University Hospitals and distributed randomly into two groups: Group (A) contained 30 patients who received a relative motion protocol, and Group (B) contained 30 patients who received place and hold protocol. At 12th postoperative week, finger goniometer; hand dynamometer; and Michigan Hand Questionnaire (MHQ) were used to evaluate outcomes.
Results: Relative motion protocol showed significant improvement over place and hold protocol in terms of IP joints active ROM of the operated fingers, operated hand grip strength, and all scales of MHQ.
Conclusion: Relative motion protocol is superior to place and hold protocol in improving the outcomes after zone II flexor tendon repair.
 

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The Egyptian Journal of Hospital Medicine
Volume 89, Issue 2
October 2022
Pages 6617-6621

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