Early active motion flexor tendon protocol using one splint.

This article describes an early active motion protocol for use after a four-strand flexor tendon repair. The protocol uses a simple dorsal blocking splint with the wrist in neutral and four fingers in rubber band traction for the first five weeks, then gradually advances the patient over the next seven weeks. The patient is able to perform the exercises without changing the splint at home during the first five weeks of the protocol. The results of the retrospective chart review are promising. Of 40 digits, 95% experienced excellent and good results in zone II, and 87.5% experienced excellent and good results in zones I, II, and III. One rupture (2.5%) occurred in a noncompliant patient. The DASH scale was used to determine functional outcome, with results of 7.82 on the physical function/symptoms category, 16.07 in sports/ performing arts, and 10.23 in the work category.