Early Active Finger Exercises in Replanted Fingers

Will Early Active Finger Exercises in Replanted Fingers Improve Mobility? A Prospective Randomized Trial

A controlled randomized trial, including patients undergoing finger replantation surgery. The Control Group will receive a standardized post operative rehabilitation regime, whilst the Intervention Group will receive a rehabilitation regime that includes early active exercises of the replanted digits.

Inclusion Criteria:

• Age over 18 years
• Total or subtotal amputation injury of 1-4 of the four ulnar digits
• Injury distal to the MCP joint
• Must have injured flexor tendon which requires suture
• Must have a fracture
• Surgery done with a stable osteosynthesis with acceptable post-operative x-ray imaging
• The finger must have had a stable circulation for at least 5 days post-surgery

Exclusion Criteria:

• Arthrodesis/temporary fixation of the MCP joint
• Bilateral amputation injury
• Severely damage of other parts if the hand compromising the patient's ability to perform active exercises of the fingers
• Patients who cannot follow the planned controls