What is Kleinert splint?
Abstract. The Kleinert controlled passive mobilisation splint has been modified to increase the passive range of motion of the proximal and distal interphalangeal joints to near normal. 12 fingers with complete divisions of both flexor tendons in Zone II treated by this method have been reviewed after six months.
What is the 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.
What is the Kleinert protocol for a flexor tendon injury repair?
Kleinert Protocol
- Orthosis: The involved wrist and fingers are placed in a dorsal blocking orthosis.
- Exercises: Active extension within the limits of the dorsal blocking splint with 50 repetitions each hour.
Which splint is used for flexor tendon injury?
Dynamic splinting, which is a splint with slings that allows some finger motion, may be used for injuries of this kind. The dynamic splint allows early movement and protects that healing tendon.
What is modified Duran protocol?
The exercise program is referred to as the “Modified Duran Exercise Program”. It is important to place equal emphasis on the passive extension & the passive flexion. It is through the effort of passive extension that allows the tendon to glide distal from the repair site.
What is a flexor lag?
A characteristic but little noted posture and attitude of metacarpophalangeal flexion with loss of interphalangeal motion and metacarpophalangeal stabilisation with restoration of interphalangeal motion is described. (“I-P flexion lag”—I.P.F.L.)
Can a flexor tendon heal without surgery?
Flexor tendon injuries do not heal by themselves and frequently require surgery to put the injured tendon back to its normal position. When surgery is required, a splint and hand therapy may be used after the procedure to protect you and to aid in recovery.
When would you use a dynamic splint?
Rehabilitation of the Injured Hand Two splints are commonly used: Dynamic Splint. This splint is used during the day to maintain joint alignment, assist extension, and provide controlled flexion for 3 to 4 weeks after surgery.
What is the Kleinert controlled passive mobilisation splint?
The Kleinert controlled passive mobilisation splint has been modified to increase the passive range of motion of the proximal and distal interphalangeal joints to near normal. 12 fingers with complete divisions of both flexor tendons in Zone II treated by this method have been reviewed after six months.
Does the Kleinert method work for Zone II flexor tendon injuries?
Discussion An integral part of the Kleinert method of the primary repair of flexor tendon injuries in Zone II is the controlled passive mobilisation splint during the postoperative period.
Is the Kleinert dynamic splint better for the DIP-joint?
Based on our observations we modified the Kleinert dynamic splint. Our experience with 37 patients shows that this modified splint gives a better function in the DIP-joint. Biomechanical Phenomena Finger Joint*
Does a modified splint increase flexor tendon sheath excursion?
Therefore, the modified splint theoretically increases the excursion of the flexor tendons within the flexor tendon sheath to near their normal range (providing that it was demonstrated during the operation that there was passive gliding of the repaired tendons within the closed flexor tendon sheath).