[Functional reeducation of flexor tendons with associated lesions in zone II--comparative study]. / Reeducarea functionala a tendoanelor flexoare cu leziuni asociate în zona II--studiu comparativ.

UNLABELLED: Regaining satisfactory digital function after flexor tendon laceration and repair has long been one of the most important problems in hand surgery. But optimal therapy is often difficult to ascertain, given the plethora of immediat postoperative protocols published in the scientific literature. AIM: The purpose of this study is to compare the functional results between Kleinert, Silfverkiöld, Gratton and Strickland protocol towards evaluate them by interconnection and with the literature. MATERIAL AND METHODS: The prospective study enorolled 75 patients who presented in our cabinet consecutives during 1.05.2008-1.12.2010. The subjects were evaluated regarding Total active motion test and Grip strenght test at 12 weeks postoperative. RESULTS: We found the best results to Gratton group, followed by Strickland, Silfverkiöld-May and Kleinert groups. CONCLUSIONS: We conclude that, for the tendinous lessions with associated injury (nervs and vessels) in zone II, our first therapeutical indication is to use the Gratton protocol.