Comparison of two relative motion extension approaches (RME with versus without an additional overnight orthosis) following zones V-VI extensor tendon repairs: A randomized equivalence trial

It is generally accepted that extensor tendon repairs in zones V and VI require a period of postoperative protection to prevent tendon rupture or gapping, and controlled motion, rather than immobilization is the preferred management.1 –6 The relative motion extension (RME) approach involves use of an RME finger orthosis which enables controlled active motion through the repaired tendon(s).7 This approach, identified as the most widely used in an international survey of therapists,8 has shown promising results in cohort studies, 7,9,10 and was selected as the preferred approach in direct comparison studies, including immobilization,11 controlled motion using a palmar orthosis- interphalangeal joints (IPJs) free to mobilize,12 and a dynamic orthosis13.
Source: Journal of Hand Therapy - Category: Rehabilitation Authors: Source Type: research