The Saint John Protocol describes a rehabilitation program of up to half a fist of protected true active finger flexion beginning 3 to 5 days after flexor tendon repair. We no longer use full fist place and hold. We illustrate with film and text the reasons for these changes.
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From the *Occupational Therapy Department, Saint John Regional Hospital, Saint John, New Brunswick and †Dalhousie University, Saint John, Canada.
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Don Lalonde, MD, FRCSC, Dalhousie University, Suite C204, 600 Main Street, Saint John, NB E2K 1J5 Canada, E-mail: firstname.lastname@example.org
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