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PubMedDate not supplied

Buddy splint.

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Equipment Design↗
PubMedDate not supplied

The use of a polyurethane in hand splinting.

The article begins by reviewing the origin of the use of polyurethane for immobilizing casts, including the incorporation of a zipper, which allows temporary removal of the cast. The formation of the specific polyurethane mixture discussed, Neofrakt, is outlined, as well as its application and specific properties. Finally, Neofrakt's advantages for postoperative care are discussed.

Equipment Design↗
PubMedDate not supplied

Management of a metacarpophalangeal joint fracture using a dynamic traction splint and early motion.

Dynamic traction and early motion have been used by hand therapists to treat proximal interphalangeal joint fractures with good results. However, metacarpophalangeal joint fractures have been neglected, perhaps because of their relative infrequency. The purpose of this case study is to report the authors' experience using dynamic traction in conjunction with early motion to treat a construction worker who fell from scaffolding and sustained a complex fracture of the left smallfinger proximal phalanx with involvement of the metacarpophalangeal joint. Range of motion of the patient's left small finger at discharge from therapy, approximately 22 weeks postoperatively, was as follows: metacarpophalangeal joint, hyperextension/65 (85 degrees passive flexion); proximal interphalangeal joint, 20/80 (5/90 passively); and distal interphalangeal joint, 0/50 (65 degrees passive flexion). The patient made a successful return to full-time construction work. The results of this case appear to support consideration of the use of dynamic traction and early motion for management of selected metacarpophalangeal joint fractures.

Adult↗
PubMed2003

Extensor tendon repair: mobilise or splint?

OBJECTIVES: The aim of this study was to assess the static and dynamic hand therapy regimes used at Mount Vernon Hospital, following extensor tendon injury during 1995-2000 and compare them to the early active regimes published. METHODS: Sixty-five patients were included and their hand function recorded by calculating total active motion (TAM), percentage combined motion and extensor lag at 4-6 weeks and at 10 weeks postinjury. RESULTS: The results in two groups were good, with mean TAMs of 202 and 258 at 4-6 weeks and at 10 weeks, respectively, for the static regime and 214 and 245, respectively, for the dynamic regime, during the same time periods. CONCLUSION: The results from each group compare favourably with the published series of patients undergoing early active motion, where mobilisation is commenced almost immediately. The authors' preference is the static regime as it is simple, effective and particularly useful in poorly compliant patients.

Adult↗