here is what i was thinking...

flexor tendon repairs
the strength/duration curve shows that healing is weak at 3 weeks but of sufficient strength to tolerate active contraction of the muscle
post op- pt should wear a hand splint for up to 4-6 weeks depending on surgeon. so wrist is in 20 degrees flexion, mcps in 60 flexion and fingers in extension. (a kieninert splint allows pt to actively extend and passively flex within limits of splint.
so...active extension and passive flexion should start in 24 hours to avaoid post op complications.
cont. with gentle, progressive active rom at 6 wks.
at 8 wks progressive strengthening
at 12 weeks moderate stress can be applied to flexor tendon in flex/ext. (pt may be able to start work depending on nature of job)
at 8 months- full tensile strength recovered



extensor tendon repairs
post op- wrist maintained in 45 deg. wrist ext. splinting/cast
mcp joints in extension for 2 weeks approx then splint is usually changes to allow active flexion, passive extension of mcp joints (4-6 wks)
7-12 wks cont with progressive rom to active ext.
8 wks start strengthening regime
pt may begin working at 12 wks...

same lines of thought?