Plenary Session 2

Date/Time: Friday, September 21, 2018 - 10:00 AM to 11:00 AM
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Reaching a Tipping Point: WALANT and True Active Movement for Flexor Tendon Management


This session is a clinical discussion on therapist management of flexor tendon repair using true active movement (as opposed to passive finger flexion such as in full fist place and hold or Kleinert rubber band). The presentation will include an explanation of why we have moved away from passive flexion to true active movement in our finger flexion, as therapists in many other countries such as the UK and Australia have. Attendees can also anticipate video evidence as to why this protocol is effective. We also explain the safety of this technique. At the Saint John Regional Hospital true active movement of flexor tendons is the treatment of choice in combination with Wide Awake Local Anesthesia No Tourniquet (WALANT) hand surgery.


  • A review of why true active movement is a safe way to treat our flexor tendons post-operatively and how WALANT surgery has helped make these advances possible.
  • Review of the true active movement protocol for flexor tendon management that is being used at the Saint John Regional Hospital.
  • Discussions on the clinical reasoning and clinical cases that were used to develop, modify and further this protocol