POSTOPERATIVE MANAGEMENT OF PATIENTS AFTER SURGICAL RESTORATION OF EXTENSOR DIGITORUM TENDONS

The restoration of palmar tendon apparatus occupies a particular place in the practice of hand surgeons.The complex anatomy of palmar tendons, the high risk of adhesive process in the early postoperative period, and the absence of unified protocols often lead to unsatisfactory results of treatment. Unfortunately, a large fraction of such results after the tendon restoration is caused by incorrect postoperative management. The paper reviews modern methods and approaches to postoperative management and the following rehabilitation of patients after surgical restoration of extensor digitorum tendons. The mentioned protocols were developed based on peculiarities of the anatomy of various zones, as well as biology of nutrition and union of tendons. Depending on the zone of injury, different versions of postoperative protocols are proposed. In addition, the selection algorithm, which would be useful to practicing surgeons, is presented.

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