Kleinert protocol
Pronunciation: KLY-nert
A post-operative rehabilitation protocol for flexor tendon repairs that combines splinting with early controlled passive motion to prevent adhesions.
Full Definition
The Kleinert protocol is a widely recognized rehabilitation approach developed for patients following flexor tendon repair surgery. This protocol involves placing the hand in a dorsal blocking splint while implementing early passive flexion exercises through elastic traction or active extension against elastic bands. The method aims to prevent tendon adhesions while protecting the healing tendon repair from excessive tension. The protocol typically begins within 3-5 days post-operatively and continues for 6-8 weeks, with gradual progression from passive to active motion and eventually to strengthening exercises.
Usage
Usage note: Always capitalize as it refers to Dr. Harold Kleinert who developed the protocol.
In Context
- "The patient was started on the Kleinert protocol three days following zone II flexor digitorum profundus repair." — Hand therapy referral
- "Adherence to the Kleinert protocol significantly reduced tendon adhesion formation in this case series." — Research publication