The clinical results of reconstruction of ruptured extensor tendons in rheumatoid hands were investigated from September 2000 to May 2001. Surgical treatment was done for ruptured extensor tendons in 32 digits of 12 patients with rheumatoid arthritis. We started fitting dynamic splints at the third postoperative day, and started active exercise.
Ranges of active flexion and extension of MP joints, and the ROM of wrist joints were examined.
A postoperative program using dynamic splints was superior to casting, in terms of improved MP joints flexion and maintaining wrist ROM, despite the remaining deficient extension of MP joints.
