Functional recovery measurement : Comparing early active mobilization versus immobilization after extensor tendon repair in zones IV to VIII.

Immobilization for six weeks has been the postoperative protocol for the patients with hand's extensor tendon repair in our institute. In this study early mobilization of the hand i.e. also an internationally followed way, is compared with the aforementioned immobilization protocol to see which turns out to be a better option in the interest of the patient.

patients selection in both groups will be random by using close envolupe technique.

In group A ( immobilisation) physiotherapy will start by the end of 4th week and the upper limit of flexion would be 45 degrees.

In group B ( EAM) physiotherapy will start by the end of 1st week and the upper limit of flexion would be 30 degrees.

Inclusion Criteria:

• Patients of either gender having simple lacerations of extrinsic extensor tendons · of the hand in · Verdan's zones IV-VIII

  • Age range 18 to 65 years
  • Sharp Cut Injury

Exclusion Criteria:

• Patients with complex injured hands like significant skin loss, bone and/or joint injuries. · Flexor tendon injuries.

  • Partial tendon lacerations
  • Tendon injuries at multiple levels

This study will be single blinded means that patient will be unaware of protocol written inside the envolupe.