» Articles » PMID: 27975032

Flexor Tendon Repair Postoperative Rehabilitation: The Saint John Protocol

Overview
Specialty General Surgery
Date 2016 Dec 16
PMID 27975032
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

The Saint John Protocol describes a rehabilitation program of up to half a fist of protected true active finger flexion beginning 3 to 5 days after flexor tendon repair. We no longer use full fist place and hold. We illustrate with film and text the reasons for these changes.

Citing Articles

Variation in patient information and rehabilitation regimens after flexor tendon repair in the United Kingdom.

Newington L, Lane J, Holmes D, Gardiner M Hand Ther. 2023; 27(2):49-57.

PMID: 37904731 PMC: 10584046. DOI: 10.1177/17589983221089654.


Outcomes of Primary Flexor Tendon Repairs in Zones 2 and 3: A Retrospective Cohort Study.

Tobler-Ammann B, Beckmann-Fries V, Calcagni M, Kampfen A, Schrepfer L, Vogelin E J Hand Surg Glob Online. 2023; 5(4):445-453.

PMID: 37521557 PMC: 10382891. DOI: 10.1016/j.jhsg.2023.03.016.


Getting Better Results in Flexor Tendon Surgery and Therapy.

Ayhan E, Tuna Z, Oksuz C Plast Reconstr Surg Glob Open. 2021; 9(2):e3432.

PMID: 33680676 PMC: 7929554. DOI: 10.1097/GOX.0000000000003432.


Preferred methods which are against traditional teachings.

Lalonde D J Hand Surg Eur Vol. 2021; 46(3):327-330.

PMID: 33478348 PMC: 7897777. DOI: 10.1177/1753193420988801.


[Postoperative treatment and rehabilitation following flexor tendon injuries].

Willkomm L, Bickert B, Wendt H, Kneser U, Harhaus L Unfallchirurg. 2020; 123(2):126-133.

PMID: 31915878 DOI: 10.1007/s00113-019-00758-6.

References
1.
Tang J . Indications, methods, postoperative motion and outcome evaluation of primary flexor tendon repairs in Zone 2. J Hand Surg Eur Vol. 2007; 32(2):118-29. DOI: 10.1016/J.JHSB.2006.12.009. View

2.
Higgins A, Lalonde D, Bell M, McKee D, Lalonde J . Avoiding flexor tendon repair rupture with intraoperative total active movement examination. Plast Reconstr Surg. 2010; 126(3):941-945. DOI: 10.1097/PRS.0b013e3181e60489. View

3.
Howell J, Peck F . Rehabilitation of flexor and extensor tendon injuries in the hand: current updates. Injury. 2013; 44(3):397-402. DOI: 10.1016/j.injury.2013.01.022. View

4.
Wong J, Peck F . Improving results of flexor tendon repair and rehabilitation. Plast Reconstr Surg. 2014; 134(6):913e-925e. DOI: 10.1097/PRS.0000000000000749. View