01978nas a2200157   4500000000100000008004100001653004900042653002900091653003400120100001300154700001200167700001100179245007400190856005200264520150400316       2008                            d10aImmediate Post-operative Active Mobilization10aOpponens Tendon Transfer10aPost-operative rehabilitation1 aSahoo DJ1 aPatra N1 aRath S00aImmediate Post-operative Active Mobilization Following Opponensplasty  uhttp://medind.nic.in/iba/t08/i3/ibat08i3p65.pdf3 a<p><em><strong>Objective: </strong>The purpose of this study is to compare the results of Immediate Post-operative Active Mobilization (IPAM) for</em></p>

<p><em>opponensplasty with post-operative immobilization.</em></p>

<p><em><strong>Methodology</strong>: In a prospective study, 5 cases of pure lower median nerve and 10 cases of ulnar-median nerve paralysis had</em></p>

<p><em>opposition tendon transfer with FDSR followed by IPAM from 48 hours after surgery. Primary outcomes are ‘active abduction’,</em></p>

<p><em>‘pinch pattern’, ‘pinch strength’. The results of IPAM were compared with a retrospective cohort of similar transfer operated</em></p>

<p><em>prior to the IPAM trial and immobilized in a cast for 3 weeks<strong>. </strong>Statistical analysis was done by student t test.</em></p>

<p><em><strong>Results: </strong>There were no incidences of tendon pullout during IPAM for opponensplasty. There were no differences in outcome</em></p>

<p><em>between the 2 groups at late follow-up evaluations, with all opposition transfers achieving good results.</em></p>

<p><em><strong>Conclusion: </strong>The concept of applying IPAM for opponens tendon transfer is feasible, safe and without much discomfort to the</em></p>

<p><em>patient. Application of this technique with proper precaution reduces morbidity period by 19 days and enables earlier return</em></p>

<p><em>of function.</em></p>

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