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G N Groth

Publications and source records attributed to G N Groth.

4 recordsLinked to original sources
PubMedDate not supplied

Early active mobilization for flexor tendons repaired using the double loop locking suture technique.

Current suture techniques limit the postoperative management for flexor tendons. A double loop locking suture (DOLLS) technique has been described that provides sufficient in vitro strength (average 4,400 g) for early active mobilization of the flexor tendon. This paper details four cases in which the flexor digitorum profundus (FDP) tendons were repaired using the DOLLS technique. Early active mobilization was initiated 3 to 7 days postoperatively. Results were classified according to Strickland's formula. Two patients achieved excellent results, one a good result, and one a fair result. One rupture of a flexor digitorum superficialis (FDS) tendon, which had been repaired with a modified Kessler technique, occurred. Although this FDS tendon ruptured, the FDP tendon, which had been repaired with the DOLLS technique, remained intact. With the use of a protective splint, early active mobilization of tendons repaired by the DOLLS technique appears to be an effective method for postoperative management.

Adult↗
PubMedDate not supplied

The impact of compliance on the rehabilitation of patients with mallet finger injuries.

While patient compliance with hand therapy intuitively seems important to the outcome of treatment, no formal study has validated this assumption. The records of 44 patients who sustained mallet finger injuries were examined retrospectively. Compliance ratings were based on self-reports of performance with home programs and attendance at therapy appointments. Results of therapy were divided into excellent, good, or poor groups depending on the patient's final range of motion and final active extension lag at the distal interphalangeal joint. Statistical analysis reveals that compliant patients have excellent outcomes more often than do noncompliant patients (61.5% and 9.1%, respectively) in the treatment for mallet finger injuries. While increased age may negatively affect the final result of mallet finger injuries, an older individual can favorably influence his or her result by choosing to be compliant with treatment. Even patients who delay initiation of treatment can achieve favorable results.

Adult↗