EARLY ACT IVE MOBIL IZAT ION FOR IN JUR IES The Norwich regime

Dynamic splinting following extensor tendon repair gives better results than static splinting, but involves cumbersome splints and recommended protocols are often complicated. We prefer controlled active mobilization of extensor tendon repairs without dynamic splinting. Six weeks after repair, excellent or good function was obtained in 22 out of 24 simple extensor tendon injuries and in 11 out of 13 complex injuries. The results of this prospective study are comparable with those reported after dynamic splinting; this regime does not require outrigger splintage and is simple to follow. Journal of Hand Surgery (British and European Volume, 1997) 22B. " 5. " 594~96 Traditionally, repaired extensor tendons were rested on static palmar splints for 3 to 4 weeks before mobilization. This regime is associated with a significant incidence of tendon adhesions, tendon tightness, intrinsic tightness and joint contracture (Dovelle et al, 1987; Evans, 1989). Literature reviews strongly support early mobilization for its beneficial effects on tendon healing and function (Blair and Steyers, 1992; Dovelle et al, 1987; Evans, 1989). Concerns about tendon attenuation and rupture have not been vindicated by large clinical series (Blai