Tendon Injury - Recovery Protocols

Question 1

Duran Protocol

Answer 1

• Early passive ROM program

Question 2

Kleinert Protocol

Answer 2

• Active extension of digits with passive flexion via traction (typically a rubber band)

Question 3

Early Active Motion Protocol

Answer 3

• Begins within days of surgery to prevent adhesions and promote tendon gliding and excursion

Question 4

Immobilization Protocol

Answer 4

• Advisable only for patients who are unable to care for themselves or who do not have the cognitive capacity to ensure safety postoperatively
• Sometimes used with children to prevent rupture of the repair

Question 5

Splinting

Answer 5

• Used to prevent rupture because the repaired tendon is at its weakest 10 to 12 days postsurgery