The dorsal blocking splint protects the surgery and guards against flexor tendon rupture.
The Dorsal Blocking Orthosis has been a constant in all rehabilitation procedures. a flexible splint that restricts passive and active finger extension to avoid potential tendon rupture. However, the precise positioning of the wrist and finger joints may vary amongst the different regimens. Patients who have undergone surgical repair of Zone 2 flexor tendon lacerations treated with a 4 strand surgical repair are suitable for the Manchester Protocol.
A short, dorsal-based orthosis that blocks MP joint extension at 30 degrees while permitting maximum wrist flexion and wrist extension to 45 degrees.
Patients engage in active finger flexion and extension exercises with their wrists extended and flexed, respectively. Using nighttime volar thermoplastic finger extension orthoses prevents flexor contractures.
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